Individual provider Active NPI

Puanani Elisha Lonetti

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1720382310
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP0132 Issued in NV
Practice address
2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910
Phone
(725) 291-2700
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP0132 NV
Rehabilitation Practitioner 225400000X
Professional Counselor 101YP2500X CP0132 NV Primary
Counselor 101Y00000X

Addresses

Primary practice location

2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910

Mailing address

2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910
Phone (725) 291-2700

Other practice location 1

6171 W Charleston Blvd Bldg 10
Las Vegas, NV 89146-1126
Phone (702) 486-8305

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
I20241003001188 NV Practitioner - Mental Health Counselor 2567993306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindwell Counseling and Crisis Services LLCGroup PAC ID 6305284688, 5 clinicians

Practice addresses (Care Compare)

2810 W Charleston Blvd
73 74
Las Vegas, NV 89102-1921
Phone (725) 291-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada - Sncas Case Management CurrentSince Sep 1, 2023 Accepting new patients
Mindwell Counseling & Crisis Services, LLC Mental Health CurrentSince Sep 23, 2024 Accepting new patients
State of Nevada - Sncas Outpatient PastSince Sep 1, 2021 Accepting new patients
Eagle Quest of Nevada Past Accepting new patients

Locations

6171 W Charleston Blvd
Bldg 10
Las Vegas, NV 89146
Phone (702) 486-0000

2810 W Charleston Blvd
#7374
Las Vegas, NV 89102
Phone (702) 331-2142

2810 W Charleston Blvd
Ste 74
Las Vegas, NV 89102
Phone (702) 331-2142

Organizations & group practices 4

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1720382310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 74",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "725-291-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 74",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "725-291-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6171 W Charleston Blvd Bldg 10",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461126",
            "country_code": "US",
            "telephone_number": "702-486-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONETTI",
        "first_name": "PUANANI",
        "middle_name": "ELISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0132",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0132",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.