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PAIGE PETERSEN
NPI 1063925915
Marriage & Family Therapist in Henderson, NV

Active since November 14, 2017PECOS Enrolled
1489 W WARM SPRINGS RD STE 110, HENDERSON, NV 89014(702) 370-2293 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2025, Jul 19, 2022, Jul 11, 2022 and 2 more (5 updates tracked since 2017).

About Paige Petersen NPPES

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

PAIGE PETERSEN (NPI 1063925915) is an individual marriage & family therapist in Henderson, Nevada, licensed in Nevada (4987) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063925915
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePAIGE PETERSEN
Location Address1489 W WARM SPRINGS RD STE 110Henderson, NV 89014-7367
Mailing Address431 Mission DrHenderson, NV 89002-9203 · (702) 370-2293
Phone(702) 370-2293
Sole ProprietorYes
Enumeration DateNovember 14, 2017
Last NPPES UpdateApril 22, 20255 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1063925915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NV · 4987
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1489 W WARM SPRINGS RD STE 110, Henderson, NV 89014
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paige Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paige Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changing Minds Psychiatry LLC
15 mi
Mental Health (Including Community Mental Health Center)
911 N BUFFALO DR UNIT 213
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 66 clinicians in this Medicare group
NPI 1821537242 (702) 405-8088

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

Other Providers at the Same Location NPPES 20

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

CORAZON DI STEFANO
Technician (Personal Care Attendant)
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (833) 636-8305
KRISTI-LEE SIKORSKI
Behavior Technician
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (702) 706-3835
ERIQA DIXON
Technician (Personal Care Attendant)
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (702) 219-9583
DORTHALENE FAYE VALLANDINGHAM
Technician (Personal Care Attendant)
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (833) 636-8305
CARLA ASERIT DULFO
Technician (Personal Care Attendant)
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (702) 219-9583
NIKKI BOLDEN
Technician (Personal Care Attendant)
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (833) 636-8305
JULIANA HAMILTON
Technician (Personal Care Attendant)
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (833) 636-8305
KERSHA T NICASIO
Behavior Technician
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 89014
Clark County (833) 636-8305

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 Paige Petersen's NPI number?

The NPI number for Paige Petersen is 1063925915. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Paige Petersen located?

Paige Petersen practices at 1489 W Warm Springs Rd Ste 110, Henderson, NV 89014. The listed phone number is (702) 370-2293.

What is Paige Petersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Paige Petersen enrolled in Medicare?

Yes. Paige Petersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paige Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paige Petersen reassigns Medicare benefits to Changing Minds Psychiatry LLC (Las Vegas, NV). The 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 Paige Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paige Petersen was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.