Paulsen Change Agent- Therapy & Coaching LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PAULSEN CHANGE AGENT- THERAPY & COACHING LLC

Practice address

7401 W Charleston Blvd Ste 1-124
Las Vegas, NV 89117-1401

Phone

(213) 215-7670

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Danyel PaulsenNPI 1720734437

Title

Owner

Phone

(213) 215-7670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Danyel Elaine Paulsen, LMSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1720734437
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1487455606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N RAINBOW BLVD STE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W CHARLESTON BLVD STE 1-124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171401",
            "telephone_number": "213-215-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Plaza Del Prado",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891023976",
            "country_code": "US",
            "telephone_number": "213-215-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAULSEN CHANGE AGENT- THERAPY & COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "DANYEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-215-7670"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Paulo, FNP-C
• Luisa Paulo
• Jalen Paulos, MD
• Nirupa Paulraj, MD
• Jelena Pauls
• Danyel Elaine Paulsen, LMSW
• Emily Paulsen, BSW
• Sarah J Paulsen
• Tiffany Marie Paulsen, RN
• Brianna Paulson

• 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 Dec 5, 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.