Individual provider Active NPI

Larissa Michelle Leiss, LMSW

  • Social Worker
  • Reno, NV
National Provider Identifier
1609553684
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10772-M Issued in NV
Practice address
5540 Reno Corporate Dr
Reno, NV 89511-2599
Phone
(775) 448-9760
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10772-M NV Primary

Addresses

Primary practice location

5540 Reno Corporate Dr
Reno, NV 89511-2599

Mailing address

2445 Bentley Dr
Reno, NV 89523-2847
Phone (775) 240-4538

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251022002306 NV Practitioner - Clinical Social Worker 1355839291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Minds LLCGroup PAC ID 5597073601, 18 clinicians

Practice addresses (Care Compare)

6490 S McCarran Blvd
Suite A6
Reno, NV 89509-6119
Phone (775) 448-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10772-MNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds, LLC CurrentSince Sep 12, 2025 Accepting new patients

Locations

5540 Reno Corporate Dr
Reno, NV 89511
Phone (775) 448-9760

6490 S McCarran Blvd
Ste A6
Reno, NV 89509
Phone (775) 448-9760

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1609553684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BENTLEY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232847",
            "telephone_number": "775-240-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112599",
            "telephone_number": "775-448-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISS",
        "first_name": "LARISSA",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "10772-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.