Organization Active NPI

Diverse Mind LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1215879440
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
DIVERSE MIND LLC
Practice address
8872 S Eastern Ave Ste 265
Las Vegas, NV 89123-0009
Phone
(702) 830-0615
NPI assigned
Apr 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Michele Wijangco, FNPNPI 1245833151
Title
Owner
Phone
(702) 830-0615

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

Addresses

Primary practice location

8872 S Eastern Ave Ste 265
Las Vegas, NV 89123-0009

Mailing address

8872 S Eastern Ave Ste 265
Las Vegas, NV 89123-0009
Phone (702) 830-0615

National Provider Directory

National Provider Directory

Locations

8872 S Eastern Ave
Ste 265
Las Vegas, NV 89123
Phone (702) 830-0615

Practitioners & 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": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1215879440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 S EASTERN AVE STE 265",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891230009",
            "telephone_number": "702-830-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 S EASTERN AVE STE 265",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891230009",
            "telephone_number": "702-830-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "WIJANGCO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-830-0615",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 7, 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.