Individual provider Active NPI

Wendy Vannesa Talavera, LCPC

  • Professional Counselor
  • Minden, NV
National Provider Identifier
1992397830
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5459 Issued in NV
Practice address
1605 Lucerne St Ste 205
Minden, NV 89423-4417
Phone
(775) 220-6263
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CI3167 NV
Professional Counselor 101YP2500X CP5459 NV Primary

Addresses

Primary practice location

1605 Lucerne St Ste 205
Minden, NV 89423-4417

Mailing address

1650 Lucerne St Ste 205
Minden, NV 89423-4312
Phone (775) 220-6263

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
I20250702000150 NV Practitioner - Mental Health Counselor 7214440239 Practice locations: Carson City, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI3167NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coates & Doran, PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

911 Mountain St
Carson City, NV 89703
Phone (775) 220-6263

1650 Lucerne St
Ste 205
Minden, NV 89423
Phone (775) 434-7422

Organizations & group practices 1

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1992397830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LUCERNE ST STE 205",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234312",
            "telephone_number": "775-220-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 LUCERNE ST STE 205",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234417",
            "telephone_number": "775-220-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "WENDY",
        "middle_name": "VANNESA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI3167",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.