NPIMap

Organization Active NPI

Lisa a Durette MD PLLC

Doing business as Healthy Minds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1235633421
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LISA A DURETTE MD PLLC
Doing business as
Healthy Minds
Practice address
526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013
Phone
(702) 440-8440
Fax
(866) 518-0781
NPI assigned
Mar 21, 2018
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Kenneth McKay, PH.D.NPI 1366567836
Title
Ceo
Phone
(702) 419-8920

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Psychiatry Physician 2084P0800X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013

Mailing address

840 S Rancho Dr # 4-337
Las Vegas, NV 89106-3837
Phone (702) 440-8440

Other practice location 1

552 E Charleston Blvd
Las Vegas, NV 89104-1319
Phone (702) 440-8440

Other practice location 2

6600 W Charleston Blvd Ste 140
Las Vegas, NV 89146-1067
Phone (702) 359-9899

Other practice location 3

501 S Rancho Dr Ste B10
Las Vegas, NV 89106-4830
Phone (702) 440-8440

Other identifiers 1

IdentifierTypeStateIssuer
1235633421MedicaidNV

Other names 1

  • Healthy Minds Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000161 NV Part B Supplier - Clinic/Group Practice 6103927280 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lisa a Durette MD LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

501 S Rancho Dr
Ste B10
Las Vegas, NV 89106
Phone (702) 440-8440

6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146

7291 W Charleston Blvd
Ste 120
Las Vegas, NV 89117
Phone (702) 440-8440

840 S Rancho Dr
#4337
Las Vegas, NV 89106

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

8845 W Flamingo Rd
Ste 210
Las Vegas, NV 89147
Phone (702) 646-0188

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1235633421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR # 4-337",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-440-8440",
            "fax_number": "866-518-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064013",
            "telephone_number": "702-440-8440",
            "fax_number": "866-518-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 E Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891041319",
            "country_code": "US",
            "telephone_number": "702-440-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 W Charleston Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461067",
            "country_code": "US",
            "telephone_number": "702-359-9899",
            "fax_number": "866-518-0781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Rancho Dr Ste B10",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064830",
            "country_code": "US",
            "telephone_number": "702-440-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LISA A DURETTE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-419-8920",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235633421",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Minds",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy Minds",
            "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 Dec 12, 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.

Verify at the official NPI Registry.