MEDICARE: OPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1477433183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC

Provider Business Mailing Address
First Line	:	1 OPTUM CIR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-2956
Country	:	US
Telephone Number	:	877-622-0013
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0424
Country	:	US
Telephone Number	:	877-622-0013
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	LESLIE FUCHS
Credential	:
Telephone Number	:	810-358-1643

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	02/02/2026

Similar Medicare Providers

1447255773 — SAVITA M CHANDER MD
Practice Location Address:

2716N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-877-8600
Practice Fax: 702-242-7944

1851399109 — ELIZABETH BREWER CNM, WNHP
Practice Location Address:

2704 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-243-8500
Practice Fax: 702-363-8195

1407856503 — DR. JEFFREY SCOTT MORTON M.D.
Practice Location Address:

2704 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-877-5199
Practice Fax:

1063414761 — BLAIR KAICHEN DUDDY MD
Practice Location Address:

2704 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-243-8500
Practice Fax: 702-869-5347

1679575229 — JUDITH FRIED RD, CDE
Practice Location Address:

2716 N TENAYA WAY , 2ND FLOOR OFFICE 232 A
LAS VEGAS, NV
89128-0424

Practice Phone: 702-242-7533
Practice Fax: 702-258-3563

1497741938 — DR. ERIN C BROTHERTON PHARM.D., CGP
Practice Location Address:

2716 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-467-8811
Practice Fax:

Directions to “OPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.