KYLE MICHAEL CHADDICK
NPI 1073951786
Counselor - Mental Health in Las Vegas, NV
About Kyle Michael Chaddick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE MICHAEL CHADDICK (NPI 1073951786) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (CP2985) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Michael Chaddick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Chaddick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Nevada and Utah enrollments
- 45 clinicians in this Medicare group
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.
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 Kyle Chaddick's NPI number?
The NPI number for Kyle Chaddick is 1073951786. It was assigned to this individual provider in the NPPES registry on June 5, 2013.
Where is Kyle Chaddick located?
Kyle Chaddick practices at 3680 N Rancho Dr, Las Vegas, NV 89130. The listed phone number is (702) 869-4300.
What is Kyle Chaddick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kyle Chaddick enrolled in Medicare?
Yes. Kyle Chaddick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Chaddick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Chaddick reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 Kyle Chaddick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Chaddick accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, BridgeSpan Health Company, Cigna HealthCare of Arizona, Inc and Imperial Health Plan of the Southwest, Inc. and 3 other insurers list Kyle Chaddick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyle Chaddick was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kyle Michael Chaddick · NPI 1073951786
Mental Health provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 5, 2013.
## Identity
- **NPI:** 1073951786 (Entity type: Individual)
- **Enumerated:** June 5, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CP2985 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 3680 N RANCHO DR, Las Vegas, NV 89130
- **Phone:** (702) 869-4300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 4, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1073951786) · Data from the CMS NPPES public registry.