OPTIMAL MENTAL HEALTH CLINIC
NPI 1487419057
Clinic/Center - Adult Mental Health in Las Vegas, NV
About Optimal Mental Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMAL MENTAL HEALTH CLINIC (NPI 1487419057) is a healthcare organization registered as an adult mental health in Las Vegas, Nevada and active in the NPI registry since February 2024. The organization lists Munachi Ezenwata, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optimal Mental Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimal Mental Health Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Optimal Mental Health Clinic's NPI number?
The NPI number for Optimal Mental Health Clinic is 1487419057. It was assigned to this organization in the NPPES registry on February 14, 2024.
Where is Optimal Mental Health Clinic located?
Optimal Mental Health Clinic is located at 4760 S Pecos Rd, Las Vegas, NV 89121. The listed phone number is (725) 200-1050.
What is Optimal Mental Health Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Optimal Mental Health Clinic enrolled in Medicare?
Yes. Optimal Mental Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optimal Mental Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Optimal Mental Health Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Optimal Mental Health Clinic was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Optimal Mental Health Clinic · NPI 1487419057
Adult Mental Health organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since February 14, 2024.
## Identity
- **NPI:** 1487419057 (Entity type: Organization)
- **Enumerated:** February 14, 2024
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Munachi Ezenwata, NURSE PRACTITIONER
## Practice location
- **Address:** 4760 S PECOS RD, Las Vegas, NV 89121-6038
- **Phone:** (725) 200-1050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1487419057) · Data from the CMS NPPES public registry.