Individual provider Active NPI

Reymon Ulan, CPC

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1891330809
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2298 W Horizon Ridge Pkwy Ste 201
Henderson, NV 89052-2698
Phone
(702) 417-5518
Fax
(702) 242-5252
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CI715 NV
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2298 W Horizon Ridge Pkwy Ste 201
Henderson, NV 89052-2698

Mailing address

2298 W Horizon Ridge Pkwy Ste 201
Henderson, NV 89052-2698
Phone (702) 608-3239

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
I20240115001967 NV Practitioner - Marriage and Family Therapist 6709238793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
University of Nevada, Las Vegas School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Changing Minds Psychiatry LLCGroup PAC ID 8820365729, 51 clinicians

Practice addresses (Care Compare)

911 N Buffalo Dr
Unit 206
Las Vegas, NV 89128-0381
Phone (702) 405-8088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI715NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Remedies of Rain PLLC Current Accepting new patients
Changing Minds Psychiatry LLC Multi-Specialty PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1891330809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522698",
            "telephone_number": "702-608-3239",
            "fax_number": "702-242-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522698",
            "telephone_number": "702-417-5518",
            "fax_number": "702-242-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULAN",
        "first_name": "REYMON",
        "credential": "CPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI715",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.