Individual provider Active NPI

Rosella Marie Redd, LCSW

  • Community/Behavioral Health Agency
  • Henderson, NV
National Provider Identifier
1063704948
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2003576593 Issued in NV
Practice address
1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020
Phone
(702) 405-0904
NPI assigned
May 10, 2011
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2003576593 NV Primary

Addresses

Primary practice location

1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020

Mailing address

1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020
Phone (702) 405-0904

Other practice location 1

2920 S Jones Blvd
Suite 230
Las Vegas, NV 89146-5395
Phone (702) 776-5061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310003179 NV Practitioner - Clinical Social Worker 3971919234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Solutions LLCGroup PAC ID 9638677313, 3 clinicians

Practice addresses (Care Compare)

1070 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-6019
Phone (702) 900-7906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003576593NVMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Solutions LLC CurrentSince May 12, 2025 Accepting new patients

Locations

1070 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 323-6019

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1063704948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126020",
            "telephone_number": "702-405-0904",
            "fax_number": "702-405-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126020",
            "telephone_number": "702-405-0904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 S Jones Blvd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465395",
            "country_code": "US",
            "telephone_number": "702-776-5061",
            "fax_number": "702-485-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDD",
        "first_name": "ROSELLA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "2003576593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.