NPIMap

Organization Active NPI

Elevate Mental Health Wellness

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1447911599
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEVATE MENTAL HEALTH WELLNESS
Practice address
645 Sierra Rose Dr Ste 106
Reno, NV 89511-4025
Phone
(775) 636-2954
Fax
(775) 800-7450
NPI assigned
Dec 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
Charlotte Renee Coniglio, CPC, NCCNPI 1669723995
Title
Owner
Phone
(775) 379-9574

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

645 Sierra Rose Dr Ste 106
Reno, NV 89511-4025

Mailing address

645 Sierra Rose Dr Ste 106
Reno, NV 89511-4025
Phone (775) 636-2954

National Provider Directory

National Provider Directory

Locations

645 Sierra Rose Dr
Ste 106
Reno, NV 89511
Phone (775) 636-2954

10725 Double R Blvd
Ste A
Reno, NV 89521
Phone (775) 636-2954

Practitioners & affiliated clinicians

Practitioners 6

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": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1447911599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR STE 106",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114025",
            "telephone_number": "775-636-2954",
            "fax_number": "775-800-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR STE 106",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114025",
            "telephone_number": "775-636-2954",
            "fax_number": "775-800-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MENTAL HEALTH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "CONIGLIO",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-379-9574",
        "authorized_official_credential": "CPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 2021; 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.