1497937270 NPI number — WENDY NOEL DINGEE MS, LCPC, LCADC, NCC

Table of content: WENDY NOEL DINGEE MS, LCPC, LCADC, NCC (NPI 1497937270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497937270 NPI number — WENDY NOEL DINGEE MS, LCPC, LCADC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DINGEE
Provider First Name:
WENDY
Provider Middle Name:
NOEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, LCPC, LCADC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497937270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3470 E RUSSELL RD
Provider Second Line Business Mailing Address:
STE 206
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89120-2201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-604-5579
Provider Business Mailing Address Fax Number:
702-589-5894

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3470 E RUSSELL RD
Provider Second Line Business Practice Location Address:
STE 206
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89120-2201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-604-5579
Provider Business Practice Location Address Fax Number:
702-589-5894
Provider Enumeration Date:
12/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  00117 LC , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: CP0058 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100500484 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".




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