Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaydian Tashina Woolery, MHC

Individual provider Professional Counselor · NPI 1619536588

Kaydian Tashina Woolery, MHC is a Mental Health Counselor in Las Vegas, Nevada. Graduated from Hofstra North Shore - Lij School of Medicine in 2019, 7 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Trained at
Hofstra North Shore - Lij School of Medicine
Licensed in
NV
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5510 S Fort Apache Rd Ste 458
Las Vegas, NV 89148-7700
Phone: (347) 517-9485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CP5094 (NV)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1619536588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC
Sole proprietorYes
NPI enumeratedJune 13, 2019
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolHOFSTRA NORTH SHORE - LIJ SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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