Active NPI
Wendy Vannesa Talavera, LCPC
- Professional Counselor
- Minden, NV
National Provider Identifier
1992397830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP5459
- Practice address
- 1605 Lucerne St Ste 205
Minden, NV 89423-4417 - Phone
- (775) 220-6263
- NPI assigned
- Feb 10, 2021
- Last updated
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250702000150 | NV | Practitioner - Mental Health Counselor | 7214440239 | Practice locations: Carson City, NV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI3167 | NV | MD | Professional Counselor |
| CP5459 | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coates & Doran, PLLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.