Individual provider Active NPI

Madelaine Heidi Coquelet-Meyer, MFT, LCADC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1669768396
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2571 Issued in NV
Practice address
8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674
Phone
(702) 849-9540
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 518-LC NV
Marriage & Family Therapist 106H00000X 2571 NV Primary

Addresses

Primary practice location

8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674

Mailing address

9317 Lotus Elan Dr
Las Vegas, NV 89117-7103
Phone (702) 418-6401

Other practice location 1

1640 Alta Dr
Las Vegas, NV 89106-4163
Phone (170) 241-8640 ext. 881

Other names 1

  • Madelaine Coquelet-Meyer Former name

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
I20240325003240 NV Practitioner - Marriage and Family Therapist 5496199507 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
Nevada Health Centers IncGroup PAC ID 7113835307, 39 clinicians

Practice addresses (Care Compare)

2212 S Eastern Ave
Las Vegas, NV 89104-4124
Phone (702) 735-9334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
518-LCNVMDAddiction (Substance Use Disorder) Counselor
2571NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers Inc CurrentSince Feb 6, 2024 Accepting new patients
Nevada Health Centers, Inc Current Accepting new patients
Nevada Health Centers, Inc CurrentSince Feb 6, 2024 Accepting new patients

Locations

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

618 W Musser St
Carson City, NV 89703
Phone (775) 445-3500

762 14th St
Elko, NV 89801
Phone (775) 738-5850

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

2212 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 220-9908

Interoperability endpoints

  • Direct secure messaging: madelaine.coqueletmeyer.p1@direct.nevadahealthcenters.nextgenshare.com

Organizations & group practices 3

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1669768396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 LOTUS ELAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177103",
            "telephone_number": "702-418-6401",
            "fax_number": "702-849-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287674",
            "telephone_number": "702-849-9540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Alta Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064163",
            "country_code": "US",
            "telephone_number": "170-241-8640 x881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COQUELET-MEYER",
        "first_name": "MADELAINE",
        "middle_name": "HEIDI",
        "credential": "MFT, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "518-LC",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELAINE",
            "last_name": "COQUELET-MEYER",
            "credential": "MS, LMFT, LCADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.