Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAULSEN CHANGE AGENT- THERAPY & COACHING LLC
NPI 1487455606
Social Worker - Clinical in Las Vegas, NV

Q: What is Paulsen Change Agent- Therapy & Coaching LLC's specialty?

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

Active since March 24, 2025

7401 W CHARLESTON BLVD STE 1-124, LAS VEGAS, NV 89117(725) 312-0842 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Dec 5, 2025, Mar 24, 2025 (3 updates tracked since 2025).

On this page

About Paulsen Change Agent- Therapy & Coaching Llc NPPES

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

PAULSEN CHANGE AGENT- THERAPY & COACHING LLC (NPI 1487455606), doing business as Reset Therapy Vegas, is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since March 2025. The organization lists Danyel Elaine Paulsen, Owner/ Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1487455606

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NamePAULSEN CHANGE AGENT- THERAPY & COACHING LLC

Location Address7401 W CHARLESTON BLVD STE 1-124Las Vegas, NV 89117-1401

Mailing Address2305 Plaza Del PradoLas Vegas, NV 89102-3976 · (725) 312-0842

Phone(725) 312-0842

Organization SubpartNo

Authorized OfficialDanyel Elaine PaulsenOwner/ Clinical Director · (725) 312-0842

Enumeration DateMarch 24, 2025

Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1487455606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

7401 W CHARLESTON BLVD STE 1-124, Las Vegas, NV 89117

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Other Names 1

Doing Business AsReset Therapy Vegas

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paulsen Change Agent- Therapy & Coaching Llc 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 Paulsen Change Agent- Therapy & Coaching LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Danyel Paulsen, LCSW

Clinical Social Worker

NPI 1720734437

7401 W CHARLESTON BLVD STE 1-124
Las Vegas, NV 89117

(725) 312-0842

✔ PECOS✔ Accepts MedicareSame address

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 Paulsen Change Agent- Therapy & Coaching LLC's NPI number?

The NPI number for Paulsen Change Agent- Therapy & Coaching LLC is 1487455606. It was assigned to this organization in the NPPES registry on March 24, 2025. The provider is doing business as RESET Therapy Vegas.

Where is Paulsen Change Agent- Therapy & Coaching LLC located?

Paulsen Change Agent- Therapy & Coaching LLC is located at 7401 W Charleston Blvd Ste 1-124, Las Vegas, NV 89117. The listed phone number is (725) 312-0842.

What is Paulsen Change Agent- Therapy & Coaching LLC's specialty?

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

Is Paulsen Change Agent- Therapy & Coaching LLC enrolled in Medicare?

Yes. Paulsen Change Agent- Therapy & Coaching LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paulsen Change Agent- Therapy & Coaching LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Paulsen Change Agent- Therapy & Coaching 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paulsen Change Agent- Therapy & Coaching LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.