Active NPI
Simple Life Solutions LLC
- Mental Health Counselor
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SIMPLE LIFE SOLUTIONS LLC
- Practice address
- 5510 S. Ft. Apache Rd
#220
Las Vegas, NV 89148 - Phone
- (702) 858-6455
- Fax
- (702) 442-9615
- NPI assigned
- Aug 28, 2020
- 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
- Paula Shannon, LPC, LMFT, LCADC
- Title
- Manager/Owner
- Phone
- (501) 352-4178
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
5510 S. Ft. Apache Rd
#220
Las Vegas, NV 89148
Mailing address
PO Box 280
Benton, AR 72018-0280
Phone (501) 352-4178
Other practice location 1
17724 I 30 Ste 2
Benton, AR 72019-2961
Phone (501) 352-4178
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330740719 | Medicaid | AR | |
| 250004786 | Medicaid | NV | |
| 71853 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17724 I 30
Ste 2
Benton, AR 72019
Phone (501) 352-4178
5510 S Fort Apache Rd
#220
Las Vegas, NV 89148
Phone (702) 858-6455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Las Vegas, NV
- NPI 1275937252
Addiction (Substance Use Disorder), AR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1194338061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "BENTON",
"state": "AR",
"postal_code": "720180280",
"telephone_number": "501-352-4178",
"fax_number": "702-442-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 S. FT. APACHE RD",
"address_2": "#220",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-858-6455",
"fax_number": "702-442-9615"
}
],
"practiceLocations": [
{
"address_1": "17724 I 30 Ste 2",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720192961",
"country_code": "US",
"telephone_number": "501-352-4178",
"fax_number": "702-442-9615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SIMPLE LIFE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "501-352-4178",
"authorized_official_credential": "LPC, LMFT, LCADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330740719",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250004786",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71853",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 4, 2025; 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.