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THE LIFE CHANGE CENTER
NPI 1073978151
Psychologist - Addiction (Substance Use Disorder) in Carson City, NV

Active since December 16, 2015CLIA Certified · 2 labs
1201 N STEWART ST STE 120, CARSON CITY, NV 89706(775) 350-7250(775) 461-3570 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2024, Dec 16, 2015 (2 updates tracked since 2015).

About The Life Change Center NPPES

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

THE LIFE CHANGE CENTER (NPI 1073978151) is a healthcare organization registered as an addiction (substance use disorder) in Carson City, Nevada and active in the NPI registry since December 2015. The organization holds 2 active CLIA laboratory certificates and lists Ryan Zeller, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1073978151
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business NameTHE LIFE CHANGE CENTER
Location Address1201 N STEWART ST STE 120Carson City, NV 89706-3004
Mailing Address1755 Sullivan LnSparks, NV 89431-2815 · (775) 499-5534 · Fax (775) 499-5535
Phone(775) 350-7250
Fax(775) 461-3570
Organization SubpartNo
Authorized OfficialRyan ZellerMedical Director · (775) 499-5534
Enumeration DateDecember 16, 2015
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1073978151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in NV · 8312NTC-0
Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1201 N STEWART ST STE 120, Carson City, NV 89706
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2102820

The Life Change Center · Carson City, NV
Active · expires Sep 28, 2027
CLIA Number29D2102820
Laboratory TypeOp Substance Abuse Clinic
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorRyan P. Zeller
Laboratory Phone(775) 350-7250
Laboratory LocationThe Life Change Center1201 N Stewart St Ste 120, Carson City, NV 89701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2177537

The Life Change Center-Reno · Reno, NV
Active · expires Jan 13, 2028
CLIA Number29D2177537
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorRyan P. Zeller
Laboratory Phone(775) 499-5534
Laboratory LocationThe Life Change Center-Reno130 Vine St, Reno, NV 89503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. RUTH ELLEN FOX RN
Registered Nurse
1201 N STEWART ST STE 120
CARSON CITY, NV 89706
Carson City (775) 350-7250
MRS. CHEYENNE FLETCHER
Registered Nurse (Medical-Surgical)
1201 N STEWART ST STE 120
CARSON CITY, NV 89706
Carson City (775) 350-7250
THE LIFE CHANGE CENTER
Psychologist (Addiction (Substance Use Disorder))
1201 N STEWART ST STE 120
CARSON CITY, NV 89706
Carson City (775) 350-7250

Frequently Asked Questions

What is THE LIFE CHANGE CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1073978151, enumerated as an "organization" on December 16, 2015.

Where is the provider located?

The provider is located at 1201 N STEWART ST STE 120 CARSON CITY, NV 89706 and the phone number is (775) 350-7250.

What is the provider's specialty?

Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).