Individual provider Active NPI

Christiane N Wilson-Dunlap

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1467732891
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4486 Issued in NV
Practice address
526 S Tonopah Dr Ste 150
Las Vegas, NV 89106-4044
Phone
(702) 440-8440
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4486 NV Primary

Addresses

Primary practice location

526 S Tonopah Dr Ste 150
Las Vegas, NV 89106-4044

Mailing address

840 S Tonopah
Ste 4-337
Las Vegas, NV 89106
Phone (702) 440-8440

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
I20240726001206 NV Practitioner - Marriage and Family Therapist 4789120692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Counseling Associates IncGroup PAC ID 4486914975, 16 clinicians

Practice addresses (Care Compare)

4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone (702) 474-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Counseling Associates, Inc CurrentSince Dec 6, 2024 Accepting new patients
Bridge Counseling Associates, Inc CurrentSince Dec 6, 2024 Accepting new patients
Lisa a Durette MD PLLC Marriage & Family Therapist Past Accepting new patients
Lisa a Durette MD PLLC Marriage & Family Therapist Past Accepting new patients
Clearwaters Family Guidance and Wellness Centers,LLC Past Accepting new patients
Clearwaters Family Guidance and Wellness Centers LLC Marriage & Family Therapist PastSince Apr 16, 2025 Accepting new patients

Locations

4221 McLeod Dr
Las Vegas, NV 89121
Phone (702) 474-6450

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/

Organizations & group practices 6

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1467732891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S TONOPAH",
            "address_2": "STE 4-337",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-440-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064044",
            "telephone_number": "702-440-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-DUNLAP",
        "first_name": "CHRISTIANE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.