MEDICARE: CONSCIOUS MINDS MENTAL HEALTH

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1598573230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSCIOUS MINDS MENTAL HEALTH

Provider Business Mailing Address
First Line	:	4045 SPENCER ST STE A48
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5245
Country	:	US
Telephone Number	:	725-234-2634
Fax Number	:	725-209-1285

Provider Business Practice Location Address
First Line	:	4045 SPENCER ST STE A48
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5245
Country	:	US
Telephone Number	:	725-234-2634
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEY CASTANEDA
Credential	:	MSN, APRN, PMHNP-BC
Telephone Number	:	702-717-7211

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	04/06/2026

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