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THE LIFE CHANGE CENTER SOS Verified

Psychologist, Addiction (Substance Use Disorder) · RENO, NV

130 VINE ST, RENO, NV 89503

NPI Number
1922056415
Street View of 130 VINE ST, RENO, NV 89503

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: THE LIFE CHANGE CENTER
Entity Number: C17909-1998
Entity Type: Domestic Nonprofit Corporation
Entity Status: Active
Formation Date: 1998-07-29
Status Changed: 2018-09-11
Name Match: 95%
Registered Agent
Name: JACKIE AUST-GIRAY
Type: Non-Commercial Registered Agent
Address: 2105 CAPURRO WAY, STE 100, SPARKS, NV, 89431
Officers / Principals
TitleNameAddressStatus
PresidentMARK GAMMON1755 SULLIVAN LANE, SPARKS, NV, 89431Active
SecretarySCOTT HARRINGTON1755 SULLIVAN LANE, SPARKS, NV, 89431Active
DirectorJOHN FIRESTONE1755 SULLIVAN LANE, SPARKS, NV, 89431Active
TreasurerDylan Clunie1755 SULLIVAN LANE, Sparks, NVActive
OtherEric Hare1755 Sullivan Lane, Sparks, NVActive
Campaign Contributions
$750Total Contributed
2Candidates Supported
Corporate Matches
The Life Change CenterConfirmed Match
Officer / Individual Matches
John FirestoneProbable Match
Matched via officer: JOHN FIRESTONE (Director)
$500 across 2 contributions
CandidateOfficePartyTotalCount
Dian VanderWellCity of Sparks, City Council, Ward 2Nonpartisan$5002
John FirestoneProbable Match
Matched via officer: JOHN FIRESTONE (Director)
$250 across 1 contribution
CandidateOfficePartyTotalCount
Rochelle NguyenState Senate, District 3Democratic Party$2501
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$5,678,019
+99% vs specialty average
Patients Seen
22,740
Total Claims
69,287
$ Per Patient
$250
Specialty avg: $118
Specialty Rank
#1 of 3
Psychologist, Addiction (Substance Use Disorder) providers in Nevada
Peer Average
$2,850,466
Average total for Psychologist, Addiction (Substance Use Disorder)
Claims per Patient
3.0
Average visits / services per person

Payments by Year

How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.

Year Total Paid % of Max
2018$53,692
2019$922,087
2020$1,008,889
2021$1,230,157
2022$864,109
2023$779,399
2024$819,686

Procedure Code Breakdown

The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.

HCPCS Code Description Claims Paid % of Total Avg per Claim
H0033Oral medication administration, direct observation38,832$4,951,798
87.2%
$128
H0020Alcohol or drug methadone administration and services18,408$543,352
9.6%
$30
H0049Alcohol and/or drug screening8,126$62,418
1.1%
$8
H0047Alcohol and/or other drug abuse services, not otherwise specified1,133$60,557
1.1%
$53
99213Office visit for a simple problem (established patient)1,389$50,612
0.9%
$36
80305Drug or substance testing785$4,396
0.1%
$6
G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing514$2,082
0.0%
$4
99202New patient office visit — simple problem53$2,046
0.0%
$39
H0034Medication training and management (learning to take medications correctly)47$757
0.0%
$16

About This Data

This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.