Organization Active NPI

Life Care Wellness LLC

  • Marriage & Family Therapist
  • North Las Vegas, NV
National Provider Identifier
1942834965
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIFE CARE WELLNESS LLC
Practice address
3465 W Craig Rd Ste D
North Las Vegas, NV 89032-5121
Phone
(702) 854-5402
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Jenny Lyn Ledesma, LMFTNPI 1316206758
Title
Therapist
Phone
(702) 854-5402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3465 W Craig Rd Ste D
North Las Vegas, NV 89032-5121

Mailing address

5135 Camino Al Norte Ste 259
North Las Vegas, NV 89031-2419
Phone (702) 300-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241107004182 NV Part B Supplier - Clinic/Group Practice 3779017124 Receives reassigned benefits from 1 practitioner
Practice locations: North Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1942834965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 259",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312419",
            "telephone_number": "702-300-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 W CRAIG RD STE D",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325121",
            "telephone_number": "702-854-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "JENNY LYN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "702-854-5402",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.