Active NPI
Reflect. Reset. Restore., LLC
- Community/Behavioral Health Agency
- Las Vegas, NM
National Provider Identifier
1174473706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- REFLECT. RESET. RESTORE., LLC
- Practice address
- 3504 Olivia Rd
Las Vegas, NM 87701-9551 - Phone
- (505) 652-0418
- NPI assigned
- Feb 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynette Trujillo
- Title
- Owner
- Phone
- (505) 652-0418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3504 Olivia Rd
Las Vegas, NM 87701-9551
Mailing address
3504 Olivia Rd
Las Vegas, NM 87701-9551
Phone (505) 652-0418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260605000159 | NM | Part B Supplier - Clinic/Group Practice | 2163993643 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1174473706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 OLIVIA RD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877019551",
"telephone_number": "505-652-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 OLIVIA RD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877019551",
"telephone_number": "505-652-0418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFLECT. RESET. RESTORE., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "TRUJILLO",
"authorized_official_first_name": "LYNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-652-0418"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.