THE LIFE CHANGE CENTER
NPI 1841743762
Psychologist - Addiction (Substance Use Disorder) in Carson City, NV

Q: What is The Life Change Center's NPI number?

The NPI number for The Life Change Center is 1841743762. It was assigned to this organization in the NPPES registry on July 27, 2016.

Q: What is The Life Change Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Active since July 27, 2016

1201 N STEWART ST STE 120, CARSON CITY, NV 89706(775) 350-7250(775) 499-5535 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2024, Oct 8, 2019 (2 updates tracked since 2019).

On this page

About The Life Change Center NPPES

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

THE LIFE CHANGE CENTER (NPI 1841743762) is a healthcare organization registered as an addiction (substance use disorder) in Carson City, Nevada and active in the NPI registry since July 2016. The organization lists John Firestone, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1841743762

Entity TypeOrganization

Primary Taxonomy103TA0400X

Legal Business NameTHE LIFE CHANGE CENTER

Location Address1201 N STEWART ST STE 120Carson City, NV 89706-3004

Mailing Address1755 Sullivan LnSparks, NV 89431-2815 · (775) 499-5534 · Fax (775) 499-5535

Phone(775) 350-7250

Fax(775) 499-5535

Organization SubpartNo

Authorized OfficialJohn FirestoneExecutive Director · (775) 499-5534

Enumeration DateJuly 27, 2016

Last NPPES UpdateJune 17, 20242 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1841743762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in NV · 8312NTC-01

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

1201 N STEWART ST STE 120, Carson City, NV 89706

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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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Life Change Center 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 The Life Change Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Zeller, DO

Family Practice

NPI 1346372760

2205 GLENDALE AVE #131
Sparks, NV 89431

(775) 331-3361

✔ PECOS25 mi

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

4,309 services16 patients

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 The Life Change Center's NPI number?

The NPI number for The Life Change Center is 1841743762. It was assigned to this organization in the NPPES registry on July 27, 2016.

Where is The Life Change Center located?

The Life Change Center is located at 1201 N Stewart St Ste 120, Carson City, NV 89706. The listed phone number is (775) 350-7250.

What is The Life Change Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is The Life Change Center enrolled in Medicare?

Yes. The Life Change Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Life Change Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to The Life Change Center. 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.

What insurance does The Life Change Center accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list The Life Change Center 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 The Life Change Center was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.