Organization Active NPI

Optima Change Management, LLC

Doing business as Optima Healing and Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henderson, NV
National Provider Identifier
1629928981
Registry record updated Jan 28, 2026
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
OPTIMA CHANGE MANAGEMENT, LLC
Doing business as
Optima Healing and Recovery
Practice address
1389 Galleria Dr Ste 110
Henderson, NV 89014-6686
Phone
(702) 329-3370
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Jason Smith
Title
Founder and Coo
Phone
(702) 329-3370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1389 Galleria Dr Ste 110
Henderson, NV 89014-6686

Mailing address

1389 Galleria Dr Ste 110
Henderson, NV 89014-6686
Phone (702) 329-3370

Other names 1

  • Optima Healing and Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optima Change Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1389 Galleria Dr
Ste 110
Henderson, NV 89014
Phone (702) 329-3370

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1629928981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 GALLERIA DR STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146686",
            "telephone_number": "702-329-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 GALLERIA DR STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146686",
            "telephone_number": "702-329-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA CHANGE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "FOUNDER AND COO",
        "authorized_official_telephone_number": "702-329-3370"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Healing and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.