Individual ProviderJanelle N KaupaloloCounselorBehavioral Health & Social Service ProvidersPractice Address2921 N Tenaya Way, Las Vegas, NV 89128-1409(702) 942-1774PECOS EnrollmentBased on the most recent information from CMS, provider Janelle N Kaupalolo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1578172953Provider TypeIndividualFull NameKaupalolo, Janelle NCredentialMFT INTERNGenderFemaleSole ProprietorYesEnumeration Date7/30/2020Last Updated1/28/2021Contact InformationPractice LocationPractice Address2921 N Tenaya Way, Las Vegas, NV 89128-1409Phone(702) 942-1774FaxUnlisted FaxMailing LocationMailing Address2921 N Tenaya Way, Las Vegas, NV 89128-1409Phone(702) 942-1774FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMI2930Nevada