KAYDIAN TASHINA WOOLERY MHC
NPI 1619536588
Counselor - Mental Health in Las Vegas, NV

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
5510 S FORT APACHE RD STE 458, LAS VEGAS, NV 89148(347) 517-9485 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, May 12, 2021, Jun 13, 2019 (3 updates tracked since 2019).

About Kaydian Tashina Woolery Mhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYDIAN TASHINA WOOLERY MHC (NPI 1619536588) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (CP5094) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Hofstra North Shore - Lij School Of Medicine (2019).

NPPES Registry Identity

NPI1619536588
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAYDIAN TASHINA WOOLERYCredential: MHC
Location Address5510 S FORT APACHE RD STE 458Las Vegas, NV 89148-7700
Mailing Address5510 S Fort Apache Rd Ste 458Las Vegas, NV 89148-7700 · (347) 517-9485
Sole ProprietorYes
Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1619536588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NV · CP5094
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
5510 S FORT APACHE RD STE 458, Las Vegas, NV 89148

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kaydian Tashina Woolery Mhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204295108
PECOS Enrollment IDI20241007000202
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
5510 S FORT APACHE RD STE 458
LAS VEGAS, NV 89148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaydian Woolery's NPI number?

The NPI number for Kaydian Woolery is 1619536588. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Kaydian Woolery located?

Kaydian Woolery practices at 5510 S Fort Apache Rd Ste 458, Las Vegas, NV 89148. The listed phone number is (347) 517-9485.

What is Kaydian Woolery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaydian Woolery enrolled in Medicare?

Yes. Kaydian Woolery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaydian Woolery accept?

Health plans from Providence Health Plan list Kaydian Woolery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaydian Woolery was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.