Individual provider Active NPI

Malaina Fesenmaier

  • Mental Health Counselor
  • Elko, NV
National Provider Identifier
1275940918
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IC-1435 Issued in NV
Practice address
1825 Pinion Rd Ste a
Elko, NV 89801-8319
Phone
(775) 728-8021
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IC-1435 NV Primary

Addresses

Primary practice location

1825 Pinion Rd Ste a
Elko, NV 89801-8319

Mailing address

326 Walnut St
Elko, NV 89801-2834
Phone (775) 934-0394

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmfesenmier@health.nv.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111002665 NV Practitioner - Clinical Social Worker 4486043437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 Railroad St
Suite 206
Elko, NV 89801-3760
Phone (775) 934-0394

401 Railroad St
Suite 301
Elko, NV 89801-3758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IC-1435NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Heard Counseling LLC CurrentSince Sep 10, 2023 Accepting new patients
Premise Health of Nevada Medical Hinitt P C Current Accepting new patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Nov 1, 2021 Accepting new patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Nov 1, 2021 Accepting new patients
Balanced Mental Wellness LLC PastSince Apr 30, 2023 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

401 Railroad St
Ste 206
Elko, NV 89801
Phone (775) 293-2606

1993 Errecart Blvd
Elko, NV 89801
Phone (775) 748-4826

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1275940918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 WALNUT ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012834",
            "telephone_number": "775-934-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PINION RD STE A",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018319",
            "telephone_number": "775-728-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESENMAIER",
        "first_name": "MALAINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "IC-1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmfesenmier@health.nv.gov",
            "affiliation": "N",
            "address_1": "1825 Pinion Rd Ste A",
            "city": "Elko",
            "state": "NV",
            "country_code": "US",
            "postal_code": "898018319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.