EXECUTIVE THERAPY SOLUTIONS
NPI 1740810092
Social Worker - Clinical in Las Vegas, NV

Active since January 24, 2020
6887A W. CHARLESTON BLVD., LAS VEGAS, NV 89117(702) 635-6800(702) 869-8844 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2021, Jan 24, 2020 (2 updates tracked since 2020).

About Executive Therapy Solutions NPPES

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

EXECUTIVE THERAPY SOLUTIONS (NPI 1740810092) is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since January 2020. The organization lists Sandra Raichart, Clinical Social Worker/ Owner, as its authorized official.

NPPES Registry Identity

NPI1740810092
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEXECUTIVE THERAPY SOLUTIONS
Location Address6887A W. CHARLESTON BLVD.Las Vegas, NV 89117
Mailing Address2620 Regatta Drive, Suite 211Las Vegas, NV 89128 · (702) 635-6800 · Fax (702) 869-8844
Fax(702) 869-8844
Organization SubpartNo
Authorized OfficialSandra RaichartClinical Social Worker/ Owner · (702) 635-6800
Enumeration DateJanuary 24, 2020
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1740810092 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.
6887A W. CHARLESTON BLVD., Las Vegas, NV 89117

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Executive Therapy Solutions 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 Executive Therapy Solutions, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1093019028
3311 S RAINBOW BLVD STE 104
Las Vegas, NV 89146
(702) 635-6800
✔ PECOS✔ Accepts Medicare2.1 mi

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 Executive Therapy Solutions's NPI number?

The NPI number for Executive Therapy Solutions is 1740810092. It was assigned to this organization in the NPPES registry on January 24, 2020.

Where is Executive Therapy Solutions located?

Executive Therapy Solutions is located at 6887A W. Charleston Blvd., Las Vegas, NV 89117. The listed phone number is (702) 635-6800.

What is Executive Therapy Solutions's specialty?

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

Is Executive Therapy Solutions enrolled in Medicare?

Yes. Executive Therapy Solutions is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Executive Therapy Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Executive Therapy Solutions. 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 Executive Therapy Solutions was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.