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RADICAL ELEVATION
NPI 1164097556
Community/Behavioral Health in Las Vegas, NV

Active since May 26, 2021
3551 E BONANZA RD STE 101, LAS VEGAS, NV 89110(702) 482-7441 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, May 26, 2021 (2 updates tracked since 2021).

About Radical Elevation NPPES

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

RADICAL ELEVATION (NPI 1164097556) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since May 2021. The organization lists Brian Harge, Owner, as its authorized official.

NPPES Registry Identity

NPI1164097556
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRADICAL ELEVATION
Location Address3551 E BONANZA RD STE 101Las Vegas, NV 89110-2198
Mailing Address3551 E Bonanza Rd Ste 101Las Vegas, NV 89110-2198 · (702) 482-7441
Phone(702) 482-7441
Organization SubpartNo
Authorized OfficialBrian HargeOwner · (702) 423-2703
Enumeration DateMay 26, 2021
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1164097556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3551 E BONANZA RD STE 101, Las Vegas, NV 89110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 12

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

THOMAS OLIVER SLONECKER
Rehabilitation Practitioner
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488
RACHEL MARAVILLA
Social Worker
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488
ISABELLA SKYE OPIE
Rehabilitation Practitioner
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488
JONATHAN VALENZUELA
Social Worker
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488
PIPER ELIZABETH WARD
Rehabilitation Practitioner
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488
FAVEN FISEHA
Rehabilitation Practitioner
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488
VICTORIA MARIE KELLEY
Rehabilitation Practitioner
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488
FATIMA SARAI GONZALEZ
Rehabilitation Practitioner
3551 E BONANZA RD STE 101
LAS VEGAS, NV 89110
Clark County (702) 608-1488

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 Radical Elevation's NPI number?

The NPI number for Radical Elevation is 1164097556. It was assigned to this organization in the NPPES registry on May 26, 2021.

Where is Radical Elevation located?

Radical Elevation is located at 3551 E Bonanza Rd Ste 101, Las Vegas, NV 89110. The listed phone number is (702) 482-7441.

What is Radical Elevation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Radical Elevation accept?

Health plans from Ambetter from Arizona Complete Health list Radical Elevation 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 Radical Elevation was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.