| Changing Minds Llc | |
|
911 N Buffalo Dr Unit 213 Las Vegas NV 89128-0381 | |
| (702) 405-8088 | |
| Not Available |
| Full Name | Changing Minds Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 N Buffalo Dr Unit 213, Las Vegas, Nevada |
| Authorized Official Name and Position | Jamie Brown (BUSINESS MANAGER) |
| Authorized Official Contact | 7024058088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Minds Llc Po Box 752003 Las Vegas NV 89136-2003 Ph: (702) 405-8088 | Changing Minds Llc 911 N Buffalo Dr Unit 213 Las Vegas NV 89128-0381 Ph: (702) 405-8088 |
| NPI Number | 1821537242 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 8820365729 |
|---|---|
| Medicare Enrollment ID | O20170524002816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821537242 | NPI | - | NPPES |
| 1402445552 | Other | NV | NEVADXA |
| 1402445552 | Medicaid | NV |
| Provider Name | Nicole Renee Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023469202 PECOS PAC ID: 5890081004 Enrollment ID: I20160913002837 |
| Provider Name | Ashley Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902117088 PECOS PAC ID: 2961770540 Enrollment ID: I20170628000203 |
| Provider Name | Angela Alesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760411318 PECOS PAC ID: 1557301579 Enrollment ID: I20190717003133 |
| Provider Name | Melanie Celeste Lasseigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598292666 PECOS PAC ID: 5193051209 Enrollment ID: I20190727000094 |
| Provider Name | Celeste Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184178030 PECOS PAC ID: 6103254875 Enrollment ID: I20200311000633 |
| Provider Name | Bethany Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205459310 PECOS PAC ID: 3173943065 Enrollment ID: I20201014002526 |
| Provider Name | Susan Candelaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992396998 PECOS PAC ID: 4587079488 Enrollment ID: I20210225002802 |
| Provider Name | Persia Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861825341 PECOS PAC ID: 4981025772 Enrollment ID: I20210721004096 |
| Provider Name | Monica Lee Chandler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144772112 PECOS PAC ID: 1254735707 Enrollment ID: I20210805003353 |
| Provider Name | Michael Lcsw Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003195538 PECOS PAC ID: 2264836568 Enrollment ID: I20210809003296 |
| Provider Name | Jerri L Bracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023625688 PECOS PAC ID: 3678961174 Enrollment ID: I20211103001015 |
| Provider Name | Jennifer Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407200413 PECOS PAC ID: 3971984394 Enrollment ID: I20220718000728 |
| Provider Name | Michael Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548716004 PECOS PAC ID: 6507248333 Enrollment ID: I20220726003916 |
| Provider Name | Shelley Dawn Guarnera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174254411 PECOS PAC ID: 5294101317 Enrollment ID: I20221014000936 |
| Provider Name | Evans Yonyon Azagidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528530763 PECOS PAC ID: 0446621700 Enrollment ID: I20230124001510 |
| Provider Name | Elizabeth Rupisan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619685179 PECOS PAC ID: 3971975608 Enrollment ID: I20230207000930 |
| Provider Name | Jennifer Nichole Mercier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083123764 PECOS PAC ID: 4082086350 Enrollment ID: I20230214003085 |
| Provider Name | Barbra Dale Scheirer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699404681 PECOS PAC ID: 1759746506 Enrollment ID: I20230429000234 |
| Provider Name | Sam Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912695487 PECOS PAC ID: 1658737036 Enrollment ID: I20230510002842 |
| Provider Name | Christian Louis Coronel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710687694 PECOS PAC ID: 5991161598 Enrollment ID: I20230524003271 |
| Provider Name | Reymon Japor Ulan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891330809 PECOS PAC ID: 6709238793 Enrollment ID: I20240115001967 |
| Provider Name | Jessica Lauren Holding |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083023758 PECOS PAC ID: 9739531534 Enrollment ID: I20240117002599 |
| Provider Name | Carolyn Denise Mcgee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518408632 PECOS PAC ID: 2264884980 Enrollment ID: I20240118002272 |
| Provider Name | Eileen Michelle Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346852712 PECOS PAC ID: 8921451949 Enrollment ID: I20240125004308 |
| Provider Name | Morgan Futch Moumouris |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1033628532 PECOS PAC ID: 2668825191 Enrollment ID: I20240131002195 |
| Provider Name | Ryan Fullenwiley-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558909549 PECOS PAC ID: 3577906114 Enrollment ID: I20240209003601 |
| Provider Name | Donna Jan Alog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992571491 PECOS PAC ID: 5799120499 Enrollment ID: I20240305000167 |
| Provider Name | Frank Ngbeken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235827148 PECOS PAC ID: 4880032333 Enrollment ID: I20240403003055 |
| Provider Name | Sarah Riopelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437888237 PECOS PAC ID: 8426490046 Enrollment ID: I20240529000921 |
| Provider Name | Faith Salvador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336907385 PECOS PAC ID: 1557803467 Enrollment ID: I20240606003575 |
| Provider Name | Jennifer Lynn Vroman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245095314 PECOS PAC ID: 6709328321 Enrollment ID: I20240610003822 |
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