Individual provider Active NPI

Kellie Lynn Nesto, LPC

  • Psychologist
  • North Las Vegas, NV
National Provider Identifier
1740574201
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
4538 W Craig Rd
Suite 290
North Las Vegas, NV 89032-2508
Phone
(702) 486-5522
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

4538 W Craig Rd
Suite 290
North Las Vegas, NV 89032-2508

Mailing address

1125 Tropic Wind Ave
North Las Vegas, NV 89081-2985
Phone (724) 255-2438

Other names 1

  • Ms. Kellie Lynn Kennedy Former name

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
I20250909002283 NV Practitioner - Clinical Psychologist 1951803782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7250 Peak Dr
Suite 214
Las Vegas, NV 89128-9027

8381 Las Lunas Way
Las Vegas, NV 89129-1820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Psychological Services, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

7250 Peak Dr
Ste 214
Las Vegas, NV 89128
Phone (725) 485-7100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1740574201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TROPIC WIND AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812985",
            "telephone_number": "724-255-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 W CRAIG RD",
            "address_2": "SUITE 290",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322508",
            "telephone_number": "702-486-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTO",
        "first_name": "KELLIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "KENNEDY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.