THE LIFE CHANGE CENTER
NPI 1922056415
Psychologist - Addiction (Substance Use Disorder) in Reno, NV

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

The NPI number for The Life Change Center is 1922056415. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider was formerly known as American Therapeutic Association.

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 May 05, 2006

130 VINE ST, RENO, NV 89503(775) 499-5534(775) 355-7759 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2024, Jun 4, 2019 (2 updates tracked since 2019).

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About The Life Change Center NPPES

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

THE LIFE CHANGE CENTER (NPI 1922056415), doing business as American Therapeutic Association, is a healthcare organization registered as an addiction (substance use disorder) in Reno, Nevada and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Sparks and lists Ryan Zeller, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1922056415

Entity TypeOrganization

Primary Taxonomy103TA0400X

Legal Business NameTHE LIFE CHANGE CENTER

Location Address130 VINE STReno, NV 89503-5546

Mailing Address1755 Sullivan LnSparks, NV 89431-2815 · (775) 355-7734 · Fax (775) 355-7759

Phone(775) 499-5534

Fax(775) 355-7759

Organization SubpartNo

Authorized OfficialRyan ZellerMedical Director · (775) 355-7734

Enumeration DateMay 5, 2006

Last NPPES UpdateJune 17, 20242 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1922056415 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 · 138101

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

130 VINE ST, Reno, NV 89503

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Other Names 1

Former Legal Business NameAmerican Therapeutic Association

Secondary Practice Location 1

Location 11755 Sullivan LnSparks, NV 89431-2815 · Phone (775) 355-7734 · Fax (775) 355-7759

Other Identifiers 1

Medicaid001716006NV

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

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.

6,153 services21 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAKE BARTLEY WILSON CADC-I