Active NPI
Mary Christine Wolery, ED.S, MFT,LADC
- Marriage & Family Therapist
- Minden, NV
National Provider Identifier
1689852121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01146
- Practice address
- 1677 Lucerne St Ste B
Minden, NV 89423-4347 - Phone
- (775) 720-8445
- Fax
- (775) 782-2231
- NPI assigned
- Feb 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 538 | NV | |
| Marriage & Family Therapist | 106H00000X | 01146 | NV | Primary |
Addresses
Primary practice location
1677 Lucerne St Ste B
Minden, NV 89423-4347
Mailing address
920 Sheridan LN
Gardnerville, NV 89460-6546
Phone (775) 720-8445
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
| License | State | Type | Specialty |
|---|---|---|---|
| 538 | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 01146 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1689852121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 SHERIDAN LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894606546",
"telephone_number": "775-720-8445",
"fax_number": "775-782-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1677 LUCERNE ST STE B",
"city": "MINDEN",
"state": "NV",
"postal_code": "894234347",
"telephone_number": "775-720-8445",
"fax_number": "775-782-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLERY",
"first_name": "MARY",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "ED.S, MFT,LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "538",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minden, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.