Life Change Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFE CHANGE THERAPY

Practice address

303 S Water St Ste 230
Henderson, NV 89015-7308

Phone

(725) 244-7223

Fax

(725) 215-9766

NPI assigned

Oct 24, 2020

Organization subpart

No

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

Authorized official

Name

David Michael Rogers, PHD, LCSW, LCADCNPI 1114209749

Title

Ceo/Clinical Director-Practitioner

Phone

(725) 244-7223

Specialties & licenses 7

Addresses

Other names 1

• Life Change Therapy Other name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Rogers, LCSW

  • Clinical Social Worker
  • Henderson, NV
  • NPI 1114209749
  Medicare reassignment NPD Authorized official
• Rachel Allen

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1992005789
  NPD (past)
• Christina Duke

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1922470236
  NPD (past)
• Allen Shamon, LCSW

  • Counselor
  • North Las Vegas, NV
  • NPI 1659030906
  NPD (past)

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1871192401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S WATER ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157308",
            "telephone_number": "725-244-7223",
            "fax_number": "725-215-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WATER ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157308",
            "telephone_number": "725-244-7223",
            "fax_number": "725-215-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR-PRACTITIONER",
        "authorized_official_telephone_number": "725-244-7223",
        "authorized_official_credential": "PHD, LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Change Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raul Licea
• Hannelore Lieberman
• Robert David Lieberman, M.D.
• Charlene Lien-Salmeron
• Life Breakthrough
• Life Improvement Medical Supply LLC
• Lifeclinic Chiropractic of Nevada LLC
• Lifeclinic Chiropractic of Nevada LLC
• Lifes Challenges a Mental Health Consultant Firm
• Lifeskills Therapy LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.