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CITI MED
NPI 1417646860
Counselor - Mental Health in Las Vegas, NV

Active since May 02, 2023CLIA 29D2316821 · Waiver
5440 W SAHARA AVE STE 202, LAS VEGAS, NV 89146(702) 602-5106(702) 685-7770 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, May 2, 2023 (2 updates tracked since 2023).

About Citi Med NPPES

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

CITI MED (NPI 1417646860) is a healthcare organization registered as a mental health in Las Vegas, Nevada and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Alejandra Avila Balsa, Director, as its authorized official.

NPPES Registry Identity

NPI1417646860
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCITI MED
Location Address5440 W SAHARA AVE STE 202Las Vegas, NV 89146-0361
Mailing Address5440 W Sahara Ave Ste 202Las Vegas, NV 89146-0361 · (702) 602-5106 · Fax (702) 685-7770
Phone(702) 602-5106
Fax(702) 685-7770
Organization SubpartNo
Authorized OfficialAlejandra Avila BalsaDirector · (702) 852-6470
Enumeration DateMay 2, 2023
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1417646860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5440 W SAHARA AVE STE 202, Las Vegas, NV 89146
Open in Google Maps ↗

Other Names 1

Doing Business AsCiti Med

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Citi Med, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Social Worker4
Mental Health Counselor2
Nurse Practitioner2
Interventional Pain Management1
Physical Therapist in Private Practice1

Clinicians, nearest first (10)

Bryan Valladares
Mental Health Counselor
NPI 1417686445
5440 W SAHARA AVE STE 202
Las Vegas, NV 89146
(702) 602-5106
✔ PECOS✔ Accepts MedicareSame address
Ayele Amavigan, ED.D, MSW, LCSW
Clinical Social Worker
NPI 1497921605
2585 S JONES BLVD STE 2F
Las Vegas, NV 89146
(702) 806-9143
✔ PECOS✔ Accepts Medicare0.6 mi
Krayton Stephens, LCSW
Clinical Social Worker
NPI 1013186030
6600 W CHARLESTON BLVD STE 111
Las Vegas, NV 89146
(702) 763-7443
✔ PECOS1.7 mi
Chris Doss, LCSW
Clinical Social Worker
NPI 1861682494
6600 W CHARLESTON BLVD STE 111
Las Vegas, NV 89146
(702) 763-7443
✔ PECOS✔ Accepts Medicare1.7 mi
Robert Odell, M.D., PH.D.
Interventional Pain Management
NPI 1013957026
8084 W SAHARA AVE SUITE E
Las Vegas, NV 89117
(702) 247-7246
✔ PECOS✔ Accepts Medicare3.0 mi
Barbara Ruscingno, APN
Nurse Practitioner
NPI 1184867384
3201 S. MARYLAND PKWY STE 314
Las Vegas, NV 89109
(702) 796-8500
✔ PECOS✔ Accepts Medicare4.5 mi
Aymara Valladares, LMHC
Mental Health Counselor
NPI 1184865289
7730 W CHEYENNE AVE STE 114
Las Vegas, NV 89129
(702) 487-3242
✔ PECOS✔ Accepts Medicare5.7 mi
Deja Fuimaono, MSW, LCSW
Clinical Social Worker
NPI 1497028682
570 W CHEYENNE AVE STE 190
North Las Vegas, NV 89030
(702) 350-1898
✔ PECOS✔ Accepts Medicare6.3 mi
Estrella Evangelista, DNP, MED, PMHNP-BC
Nurse Practitioner
NPI 1114445756
6605 GRAND MONTECITO PKWY STE 100
Las Vegas, NV 89149
(702) 401-8794
✔ PECOS✔ Accepts Medicare10.0 mi
Matthew Thomas
Physical Therapist in Private Practice
NPI 1043473879
210 N SANDHILL BLVD STE B
Mesquite, NV 89027
(702) 346-3105
✔ Accepts Medicare79 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 29D2316821

Citi Med · Las Vegas, NV
Active · expires Jan 12, 2027
CLIA Number29D2316821
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorRobert H Odell
Laboratory Phone(702) 602-5106
Laboratory LocationCiti Med5440 W Sahara Ave Ste 202, Las Vegas, NV 89146
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Citi Med's NPI number?

The NPI number for Citi Med is 1417646860. It was assigned to this organization in the NPPES registry on May 2, 2023.

Where is Citi Med located?

Citi Med is located at 5440 W Sahara Ave Ste 202, Las Vegas, NV 89146. The listed phone number is (702) 602-5106.

What is Citi Med's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Citi Med enrolled in Medicare?

Yes. Citi Med is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Citi Med?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Citi Med. 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 Clinical Social Worker (4), Mental Health Counselor (2) and Nurse Practitioner (2). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Citi Med hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2316821) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Citi Med was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.