LIFESPAN BEHAVIORAL HEALTH NEVADA PC
NPI 1114547726
Psychiatry & Neurology - Neurology in Henderson, NV

Active since April 23, 2020
2401 W HORIZON RIDGE PKWY STE 110, HENDERSON, NV 89052(702) 544-1776 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, May 11, 2022, Apr 15, 2022 and 1 more (4 updates tracked since 2020).

About Lifespan Behavioral Health Nevada Pc NPPES

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

LIFESPAN BEHAVIORAL HEALTH NEVADA PC (NPI 1114547726) is a healthcare organization registered as a neurology in Henderson, Nevada and active in the NPI registry since April 2020. The organization lists Carolyn Reidy, Office Admin, as its authorized official.

NPPES Registry Identity

NPI1114547726
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLIFESPAN BEHAVIORAL HEALTH NEVADA PC
Location Address2401 W HORIZON RIDGE PKWY STE 110Henderson, NV 89052-2707
Mailing Address2505 Anthem Village Dr Ste E-508Henderson, NV 89052-5505
Organization SubpartNo
Authorized OfficialCarolyn ReidyOffice Admin · (800) 819-7570
Enumeration DateApril 23, 2020
Last NPPES UpdateApril 8, 20254 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1114547726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2401 W HORIZON RIDGE PKWY STE 110, Henderson, NV 89052

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifespan Behavioral Health Nevada Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Lifespan Behavioral Health Nevada PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mental Health Counselor
NPI 1841564978
2920 N GREEN VALLEY PKWY STE 312
Henderson, NV 89014
(702) 935-0025
✔ PECOS4.9 mi
Mental Health Counselor
NPI 1508377565
2780 S JONES BLVD STE 100A
Las Vegas, NV 89146
(702) 820-3061
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1386378735
17709 QUEEN ELIZABETH DR
Olney, MD 20832
(301) 305-9738
✔ PECOS✔ Accepts Medicare2,082 mi
Psychiatry
NPI 1922212174
7474 GREENWAY CENTER DR SUITE 730
Greenbelt, MD 20770
(301) 982-3437
✔ PECOS✔ Accepts Medicare2,094 mi
Mental Health Counselor
NPI 1316284755
7474 GREENWAY CENTER DR SUITE 730
Greenbelt, MD 20770
(301) 345-1022
✔ PECOS✔ Accepts Medicare2,094 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 Lifespan Behavioral Health Nevada PC's NPI number?

The NPI number for Lifespan Behavioral Health Nevada PC is 1114547726. It was assigned to this organization in the NPPES registry on April 23, 2020.

Where is Lifespan Behavioral Health Nevada PC located?

Lifespan Behavioral Health Nevada PC is located at 2401 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052. The listed phone number is (702) 544-1776.

What is Lifespan Behavioral Health Nevada PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lifespan Behavioral Health Nevada PC enrolled in Medicare?

Yes. Lifespan Behavioral Health Nevada PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifespan Behavioral Health Nevada PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Lifespan Behavioral Health Nevada PC. 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. The largest specialties are Mental Health Counselor (3), Nurse Practitioner (1) and Psychiatry (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifespan Behavioral Health Nevada PC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Lifespan Behavioral Health Nevada PC 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 Lifespan Behavioral Health Nevada PC was last updated on April 8, 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.