Individual provider Active NPI

Georgia Ann Wolske, MFT

  • Marriage & Family Therapist
  • Henderson, NV
National Provider Identifier
1639471212
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46864 Issued in CA
Practice address
2831 Saint Rose Pkwy # 221
Henderson, NV 89052-4840
Phone
(702) 589-4871
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 46864 CA Primary

Addresses

Primary practice location

2831 Saint Rose Pkwy # 221
Henderson, NV 89052-4840

Mailing address

2831 Saint Rose Pkwy # 221
Henderson, NV 89052-4840
Phone (702) 589-4871

Other practice location 1

4781 Bougainvillea Cir
Sparks, NV 89436-7387
Phone (775) 338-0483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46864CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1639471212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY # 221",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524840",
            "telephone_number": "702-589-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY # 221",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524840",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4781 Bougainvillea Cir",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894367387",
            "country_code": "US",
            "telephone_number": "775-338-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLSKE",
        "first_name": "GEORGIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2020-12-03",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.