Organization Active NPI

Wonder Well LLC

Doing business as Rise Adolescent Treatment Center

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1093612483
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
WONDER WELL LLC
Doing business as
Rise Adolescent Treatment Center
Practice address
8230 W Charleston Blvd Ste B
Las Vegas, NV 89117-1219
Phone
(702) 903-9847
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Kayla Jefferson
Title
Executive Director
Phone
(702) 903-9847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

8230 W Charleston Blvd Ste B
Las Vegas, NV 89117-1219

Mailing address

8230 W Charleston Blvd Ste B
Las Vegas, NV 89117-1219
Phone (702) 903-9847

Other names 1

  • Rise Adolescent Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wonder Well LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8230 W Charleston Blvd
Ste B
Las Vegas, NV 89117

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1093612483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171219",
            "telephone_number": "702-903-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171219",
            "telephone_number": "702-903-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-903-9847"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Adolescent Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.