Lifes Challenges a Mental Health Consultant Firm

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIFES CHALLENGES A MENTAL HEALTH CONSULTANT FIRM

Practice address

6301 Mountain Vista St Ste 104
Henderson, NV 89014-2365

Phone

(702) 786-2921

NPI assigned

Jul 10, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Ahna Superville

Title

Managing Employee

Phone

(954) 552-5846

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lieutenant Johnson Superville, PH.D

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1790458156
  Medicare reassignment NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1184515934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA ST STE 104",
            "address_2": "SUITE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142365",
            "telephone_number": "702-786-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA ST STE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142365",
            "telephone_number": "702-786-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES CHALLENGES A MENTAL HEALTH CONSULTANT FIRM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "SUPERVILLE",
        "authorized_official_first_name": "AHNA",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "954-552-5846",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Breakthrough
• Life Change Therapy
• Life Improvement Medical Supply LLC
• Lifeclinic Chiropractic of Nevada LLC
• Lifeclinic Chiropractic of Nevada LLC
• Lifeskills Therapy LLC
• Lifespan Behavioral Health Nevada PC
• Lifespan Behavioral Health Nevada PC
• Lifestyle Overhaul, LLC
• Lifetime Body and Health Awareness Haynes Physical Therapy

• Psychiatric/Mental Health Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.