Organization Active NPI

Mended Wing Therapy

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1235998279
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MENDED WING THERAPY
Practice address
1005 Forest St
Reno, NV 89509-2706
Phone
(775) 233-6789
NPI assigned
Mar 13, 2024
Organization subpart
Yes
Parent organization
DELACRUZ WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Leslie Lee Delacruz, LMFTNPI 1730431008
Title
Owner
Phone
(775) 233-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1005 Forest St
Reno, NV 89509-2706

Mailing address

9721 Oakley LN
Reno, NV 89521-6160
Phone (775) 233-6789

Other practice location 1

1735 Vassar St
Reno, NV 89502-2720
Phone (775) 329-4150

Other practice location 2

1735 Vassar St
Reno, NV 89502-2720
Phone (775) 233-6789

Other names 2

  • Delacruz Wellness Doing business as
  • Transcend Therapy Reno Doing business as

National Provider Directory

National Provider Directory
Part of
Mended Wing Therapy

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1235998279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 OAKLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216160",
            "telephone_number": "775-233-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 FOREST ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092706",
            "telephone_number": "775-233-6789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1735 Vassar St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022720",
            "country_code": "US",
            "telephone_number": "775-329-4150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 Vassar St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022720",
            "country_code": "US",
            "telephone_number": "775-233-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDED WING THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELACRUZ WELLNESS",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-233-6789",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delacruz Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transcend Therapy Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.