Diana Lynn Subero

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11956-C Issued in NV

Practice address

6171 W Charleston Blvd BLDG 10
Las Vegas, NV 89146-1126

Phone

(702) 486-7865

NPI assigned

Dec 30, 2010

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beautiful Mind of Las Vegas LLCGroup PAC ID 9032550199, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beautiful Mind of Las Vegas LLC

  dba Beautiful Mind

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1356940639

  Mental Health

  Medicare reassignment Care Compare group NPD
• Bergdale & Hall, LLC

  dba Serenity Counseling and Support Services

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1972814630
  Medicare reassignment NPD
• Bergdale & Hall, LLC

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1346609203
  NPD
• Dynamic Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1841988136
  NPD
• State of Nevada - Sncas Case Management

  dba SNCAS Case Management

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1679640023
  NPD
• Kingdom Behavioral Health, Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1114259355
  NPD (past)
• State of Nevada - Sncas Outpatient

  dba NV St DCFS Sncas Op

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1568539914
  NPD (past)

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1326342676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 W CHARLESTON BLVD BLDG 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-486-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 W CHARLESTON BLVD BLDG 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-486-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6879 W Charleston Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171672",
            "country_code": "US",
            "telephone_number": "702-608-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 Festival Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891352927",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBERO",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11956-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suba Psychiatry PLLC
• Justine Suba-Cohen, D.O.
• Faisal Ahmed Suba, M.D.
• Noptanat Subchoosang
• Verleana Marie Suber-Bright
• Stephen A Subero
• Rawls A Subida
• Bill Subin, MD
• Ciaran Subira, PTA
• Luisa Subotic

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.