The Life Change Center
NPI 1205389129 · Addiction (Substance Use Disorder) Psychologist · Sparks, NV
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Life Change Center is a Addiction (Substance Use Disorder) Psychologist organization in Sparks, NV (NPI 1205389129).
Provider details
- NPI number
- 1205389129
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Firestone, Executive Director(775) 842-7436
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
8,455 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/Or Administration, Substance Use Counseling, Individual and Group Therapy, and Toxicology Testing, If Performed (provision of the Services By a Medicare-Enrolled Opioid TreatmG2067 | 8,455 | $43 |
Typical Medicare-allowed amounts for these services range $43–$43 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-27
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is The Life Change Center's NPI number?
- The Life Change Center's National Provider Identifier (NPI) is 1205389129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Life Change Center?
- The Life Change Center is classified in the NPPES registry as Addiction (Substance Use Disorder) Psychologist (Behavioral Health & Social Service Providers).
- Where is The Life Change Center located?
- The Life Change Center's practice location on file with NPPES is 1755 Sullivan Ln, Sparks, NV 89431-2815.
- What is The Life Change Center's phone number?
- The practice phone number listed in the NPPES registry for The Life Change Center is (775) 499-5534.
- Does The Life Change Center accept Medicare?
- The Life Change Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Life Change Center?
- The authorized official listed on The Life Change Center's NPPES record is John Firestone, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Life Change Center's NPI active?
- Yes — The Life Change Center's NPI (1205389129) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.