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BEAUTIFUL MIND
NPI 1356940639
Social Worker - Clinical in Las Vegas, NV

Active since October 19, 2020
3841 W CHARLESTON BLVD STE 202, LAS VEGAS, NV 89102(702) 808-0011 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2024, May 9, 2024, Oct 19, 2020 (3 updates tracked since 2020).

About Beautiful Mind NPPES

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

BEAUTIFUL MIND (NPI 1356940639) is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since October 2020. The organization lists Jessica Tinte Erfe, Manager Member, as its authorized official.

NPPES Registry Identity

NPI1356940639
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBEAUTIFUL MIND OF LAS VEGAS LLC
Location Address3841 W CHARLESTON BLVD STE 202Las Vegas, NV 89102-1858
Mailing Address3841 W Charleston Blvd Ste 202Las Vegas, NV 89102-1858 · (702) 808-0011
Phone(702) 808-0011
Organization SubpartNo
Authorized OfficialJessica Tinte ErfeManager Member · (702) 704-9611
Enumeration DateOctober 19, 2020
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1356940639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
3841 W CHARLESTON BLVD STE 202, Las Vegas, NV 89102
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Other Names 1

Doing Business AsBeautiful Mind

Group Practice 2

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beautiful Mind is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Beautiful Mind, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Diana Subero
Clinical Social Worker
NPI 1326342676
6171 W CHARLESTON BLVD BLDG 10
Las Vegas, NV 89146
(702) 486-7865
✔ PECOS✔ Accepts Medicare2.0 mi
Victor Ingram, LCSW
Clinical Social Worker
NPI 1043745557
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2273
✔ PECOS✔ Accepts Medicare14 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 Beautiful Mind Of Las Vegas LLC's NPI number?

The NPI number for Beautiful Mind Of Las Vegas LLC is 1356940639. It was assigned to this organization in the NPPES registry on October 19, 2020. The provider is doing business as Beautiful Mind.

Where is Beautiful Mind Of Las Vegas LLC located?

Beautiful Mind Of Las Vegas LLC is located at 3841 W Charleston Blvd Ste 202, Las Vegas, NV 89102. The listed phone number is (702) 808-0011.

What is Beautiful Mind Of Las Vegas LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Beautiful Mind Of Las Vegas LLC enrolled in Medicare?

Yes. Beautiful Mind Of Las Vegas LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beautiful Mind Of Las Vegas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Beautiful Mind Of Las Vegas LLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beautiful Mind Of Las Vegas LLC was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.