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WENDY RAE DWAN
NPI 1790486900
Counselor - Mental Health in Tucson, AZ

Active since March 14, 2023Opted out of Medicare · through Feb 23, 2028
1580 N KOLB RD STE 100, TUCSON, AZ 85715(520) 214-8650 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wendy Rae Dwan NPPES

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

WENDY RAE DWAN (NPI 1790486900) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LAC-19109) and active in the NPI registry since March 2023. She has opted out of Medicare through February 23, 2028.

NPPES Registry Identity

NPI1790486900
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWENDY RAE DWAN
Location Address1580 N KOLB RD STE 100Tucson, AZ 85715-4932
Mailing Address1580 N Kolb Rd Ste 100Tucson, AZ 85715-4932 · (520) 214-8650
Phone(520) 214-8650
Sole ProprietorNo
Enumeration DateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1790486900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-19109
1580 N KOLB RD STE 100, Tucson, AZ 85715
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Wendy Rae Dwan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2026 through February 23, 2028.

Opt-Out Effective DateFebruary 23, 2026
Opt-Out In Effect ThroughFebruary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

MRS. REBECCA DALE HAMLIN L.C.S.W.
Social Worker (Clinical)
1580 N KOLB RD STE 100
TUCSON, AZ 85715
Pima County (520) 214-8650
CAMILLE ALLYSE DAVRE LAC
Counselor (Mental Health)
1580 N KOLB RD STE 100
TUCSON, AZ 85715
Pima County (520) 214-8650
MELINDA YVONNE STRAUGHN MS, LPC
Counselor (Mental Health)
1580 N KOLB RD STE 100
TUCSON, AZ 85715
Pima County (520) 214-8650
SOUL SPACE, LLC
Community/Behavioral Health
1580 N KOLB RD STE 100
TUCSON, AZ 85715
Pima County (520) 214-8650
KATIE NEUSCHWANGER LAC
Counselor (Mental Health)
1580 N KOLB RD STE 100
TUCSON, AZ 85715
Pima County (520) 214-8650
KAY C WOLFERSTETTER MA, MS, LAAC
Counselor (Addiction (Substance Use Disorder))
1580 N KOLB RD STE 100
TUCSON, AZ 85715
Pima County (520) 214-8650

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 Wendy Dwan's NPI number?

The NPI number for Wendy Dwan is 1790486900. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Where is Wendy Dwan located?

Wendy Dwan practices at 1580 N Kolb Rd Ste 100, Tucson, AZ 85715. The listed phone number is (520) 214-8650.

What is Wendy Dwan's specialty?

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

Is Wendy Dwan enrolled in Medicare?

No. Wendy Dwan has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Wendy Dwan was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.