NEVADA MENTAL CARE LLC
NPI 1053875831
Clinic/Center in Las Vegas, NV

Active since January 26, 2019
626 N RAINBOW BLVD, LAS VEGAS, NV 89107(702) 766-9142 Get Directions Write a Review

NPPES record last updated: January 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nevada Mental Care Llc NPPES

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

NEVADA MENTAL CARE LLC (NPI 1053875831) is a healthcare organization registered as a clinic/center in Las Vegas, Nevada and active in the NPI registry since January 2019. The organization lists Nnenna Olubajo, Owner, as its authorized official.

NPPES Registry Identity

NPI1053875831
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEVADA MENTAL CARE LLC
Location Address626 N RAINBOW BLVDLas Vegas, NV 89107-1101
Mailing Address626 N Rainbow BlvdLas Vegas, NV 89107-1101
Organization SubpartNo
Authorized OfficialNnenna OlubajoOwner · (267) 324-9300
Enumeration DateJanuary 26, 2019
✔ NPI 1053875831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
626 N RAINBOW BLVD, Las Vegas, NV 89107

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nevada Mental Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nevada Mental Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1326581802
1001 E TYLER AVE
Harlingen, TX 78550
(956) 423-1194
✔ PECOS1,243 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nevada Mental Care LLC's NPI number?

The NPI number for Nevada Mental Care LLC is 1053875831. It was assigned to this organization in the NPPES registry on January 26, 2019.

Where is Nevada Mental Care LLC located?

Nevada Mental Care LLC is located at 626 N Rainbow Blvd, Las Vegas, NV 89107. The listed phone number is (702) 766-9142.

What is Nevada Mental Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Nevada Mental Care LLC enrolled in Medicare?

Yes. Nevada Mental Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nevada Mental Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nevada Mental Care LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nevada Mental Care LLC was last updated on January 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.