LIFE CHANGES, INC.
NPI 1720611304
Prevention Professional in Reno, NV

NPI Status: Active since February 21, 2020

Contact Information

1195 KINGS ROW
RENO, NV
ZIP 89503
Phone: (775) 685-8145

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  • Organization
  • Prevention Professional
  • CLIA Number: 29D1085105
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-09-2026

About LIFE CHANGES, INC.

This page provides the complete NPI Profile along with additional information for Life Changes, Inc., a provider established in Reno, Nevada operating as a Prevention Professional. The healthcare provider is registered in the NPI registry with number 1720611304 assigned on February 2020. The practitioner's primary taxonomy code is 405300000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nathan Jersey Mscj, Ps (Program Evaluator)

NPI
1720611304
Provider Name
LIFE CHANGES, INC.
Entity Type
Organization
Location Address
1195 KINGS ROW RENO, NV 89503
Location Phone
(775) 685-8145
Mailing Address
PO BOX 3137 SPARKS, NV 89432
Mailing Phone
(775) 200-8827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2020
Last Update Date
02-21-2020
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Location Map

Secondary Locations

  • 541 W 2nd St
    Reno, NV 89503
    (775) 685-8145
  • 1508 1st St
    Sparks, NV 89431
    (775) 685-8145

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NATHAN JERSEY MSCJ, PS

Authorized Official Title
PROGRAM EVALUATOR
Authorized Official Phone
(775) 200-8827

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D1085105
Facility Type
Physician Office
Certificate Effective Date
June 10, 2024
Certificate Expiration Date
June 09, 2026
Laboratory Director
RYAN P. ZELLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Life Changes, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720611304, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 1 + 2 + 1 + 2 + 3 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720611304.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720611304, enumerated as an "organization" on February 21, 2020.

The provider is located at 1195 KINGS ROW RENO, NV 89503 and the phone number is (775) 685-8145.

Prevention Professional with taxonomy code 405300000X.