Individual provider Active NPI

Stephani Teresa Halladay, LCPC

  • Mental Health Counselor
  • Minden, NV
National Provider Identifier
1720743016
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP5337 Issued in NV
Practice address
1650 Lucerne St Ste 205
Minden, NV 89423-4312
Phone
(775) 461-5178
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP5337 NV Primary

Addresses

Primary practice location

1650 Lucerne St Ste 205
Minden, NV 89423-4312

Mailing address

1419 Leonard Rd
Gardnerville, NV 89460-8335
Phone (775) 401-0010

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
I20260601003176 NV Practitioner - Mental Health Counselor 5294205159 Practice locations: Minden, NV

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1650 Lucerne St
Suite 205
Minden, NV 89423-4312
Phone (775) 461-5178

1650 Lucerne St
Suite 205
Minden, NV 89423-4313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP5337NVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1720743016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 LEONARD RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894608335",
            "telephone_number": "775-401-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LUCERNE ST STE 205",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234312",
            "telephone_number": "775-461-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLADAY",
        "first_name": "STEPHANI",
        "middle_name": "TERESA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP5337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.