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GENESIS LIGHTBOURNE
NPI 1649543471
Social Worker - Clinical in North Las Vegas, NV

Active since February 09, 2012PECOS Enrolled
3925 MARTIN LUTHER KING B, SUITE 212, NORTH LAS VEGAS, NV 89032(702) 503-9544 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2026, Jan 9, 2017 (2 updates tracked since 2017).

About Genesis Lightbourne NPPES

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

GENESIS LIGHTBOURNE (NPI 1649543471) is an individual clinical provider in North Las Vegas, Nevada, licensed in Nevada (12959-C) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1649543471
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGENESIS LIGHTBOURNE
Location Address3925 MARTIN LUTHER KING B, SUITE 212North Las Vegas, NV 89032
Mailing Address1640 E Flamingo Rd, #100Las Vegas, NV 89119-5249 · (702) 503-9544
Phone(702) 503-9544
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 9, 2012
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1649543471 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
License✔ Licensed in NV · 12959-C
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 ListedBehavior AnalystTaxonomy 103K00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3925 MARTIN LUTHER KING B, North Las Vegas, NV 89032
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4880154111
PECOS Enrollment IDI20260904002992
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Genesis Lightbourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Total Care Medical Consultant Inc
7.5 mi
Psychiatric/Mental Health
3399 S EASTERN AVE
Las Vegas, NV 89169
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
NPI 1053934927 (702) 945-4202

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Genesis Lightbourne's NPI number?

The NPI number for Genesis Lightbourne is 1649543471. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Genesis Lightbourne located?

Genesis Lightbourne practices at 3925 Martin Luther King B Suite 212, North Las Vegas, NV 89032. The listed phone number is (702) 503-9544.

What is Genesis Lightbourne's specialty?

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

Is Genesis Lightbourne enrolled in Medicare?

Yes. Genesis Lightbourne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Genesis Lightbourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genesis Lightbourne reassigns Medicare benefits to Total Care Medical Consultant Inc (Las Vegas, NV). The 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 Genesis Lightbourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Genesis Lightbourne accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Genesis Lightbourne 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 Genesis Lightbourne was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.