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THE LIFE CHANGE CENTER
NPI 1205389129
Psychologist - Addiction (Substance Use Disorder) in Sparks, NV

Active since July 27, 2016
1755 SULLIVAN LN, SPARKS, NV 89431(775) 499-5534(775) 499-5535 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2024, May 29, 2019 (2 updates tracked since 2019).

About The Life Change Center NPPES

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

THE LIFE CHANGE CENTER (NPI 1205389129) is a healthcare organization registered as an addiction (substance use disorder) in Sparks, Nevada and active in the NPI registry since July 2016. The organization lists John Firestone, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205389129
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business NameTHE LIFE CHANGE CENTER
Location Address1755 SULLIVAN LNSparks, NV 89431-2815
Mailing Address1755 Sullivan LnSparks, NV 89431-2815 · (775) 499-5534 · Fax (775) 499-5535
Phone(775) 499-5534
Fax(775) 499-5535
Organization SubpartNo
Authorized OfficialJohn FirestoneExecutive Director · (775) 842-7436
Enumeration DateJuly 27, 2016
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1205389129 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-01
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
1755 SULLIVAN LN, Sparks, NV 89431
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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

Accepted Insurance

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
8,455 services31 patients

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.

JULIENNE RAMSKOV
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 460-2041
KAITLYN SOFOS
Peer Specialist
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 460-2041
LISA CHRISTINE LEE MA, CADC-I, CPRSS
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 455-4260
MISS CATHERINE LEE MACINTOSH CADC INTERN
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 455-4260
BRANDEN GOBEN CADC-I
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 355-7734
LESLI SCHNEIDER LPN
Licensed Practical Nurse
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 499-5534
RYLEE WEST CADC-I
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 355-7734
SARAH MCGILL LCSW
Counselor (Mental Health)
1755 SULLIVAN LN
SPARKS, NV 89431
Washoe County (775) 355-7734

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 The Life Change Center's NPI number?

The NPI number for The Life Change Center is 1205389129. It was assigned to this organization in the NPPES registry on July 27, 2016.

Where is The Life Change Center located?

The Life Change Center is located at 1755 Sullivan Ln, Sparks, NV 89431. The listed phone number is (775) 499-5534.

What is The Life Change Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

What insurance does The Life Change Center accept?

Health plans from Ambetter from Arizona Complete Health list The Life Change Center 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 The Life Change Center was last updated on June 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.