KAYDIAN TASHINA WOOLERY MHC
NPI 1619536588
Counselor - Mental Health in Las Vegas, NV
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kaydian Woolery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Las Vegas, NV 89148
- Reassigned Medicare billing, Nevada enrollment
Durham, NC 27701
- Reassigned Medicare billing, Nevada enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Kaydian Woolery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaydian Woolery reassigns Medicare benefits to 2 organizations: Ascending Minds Lv (Las Vegas, NV) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaydian Woolery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaydian Woolery accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health 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 7 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.
# Kaydian Tashina Woolery, MHC · NPI 1619536588
Mental Health provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 13, 2019.
## Identity
- **NPI:** 1619536588 (Entity type: Individual)
- **Enumerated:** June 13, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CP5094 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5510 S FORT APACHE RD STE 458, Las Vegas, NV 89148-7700
- **Phone:** (347) 517-9485
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ascending Minds Lv (NPI 1356026454, Las Vegas, NV); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Hofstra North Shore - Lij School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619536588) · Data from the CMS NPPES public registry.