MEDICARE: ASD.ME, LLC

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1871204073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASD.ME, LLC

Provider Business Mailing Address
First Line	:	10245 JERSEY SHORE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1153
Country	:	US
Telephone Number	:	646-645-2108
Fax Number	:

Provider Business Practice Location Address
First Line	:	10245 JERSEY SHORE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1153
Country	:	US
Telephone Number	:	646-645-2108
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. MICHAEL E JOHNSON
Credential	:
Telephone Number	:	646-645-2108

Provider Enumeration Date	:	12/08/2022
Last Update Date	:	12/08/2022

Similar Medicare Providers

1528420643 — MS. LORI CAMPBELL LCSW
Practice Location Address:

6263 W TWAIN AVE
LAS VEGAS, NV
89103-1153

Practice Phone: 443-449-9034
Practice Fax:

1811533524 — YAMILE CABRERA
Practice Location Address:

7113 UTOPIA WAY
LAS VEGAS, NV
89130-1153

Practice Phone: 702-219-1020
Practice Fax:

1124645999 — PORCH LIGHT LLC
Practice Location Address:

6263 W TWAIN AVE
LAS VEGAS, NV
89103-1153

Practice Phone: 443-449-9034
Practice Fax:

1891227401 — MRS. AMY JO O'DELL
Practice Location Address:

1153 LAS CRUCES DR
VIRGINIA BEACH, VA
23454-5700

Practice Phone: 757-513-8600
Practice Fax:

1053317040 — DR. VERNE E LEWIS PHD
Practice Location Address:

1980 FESTIVAL PLAZA DR
LAS VEGAS, NV
89135-2927

Practice Phone: 323-205-7088
Practice Fax:

1922008523 — RUCKDESCHEL MANNO, LTD. DBA
Practice Location Address:

ONE BREAKTHROUGH WAY
LAS VEGAS, NV
89135-3011

Practice Phone: 702-822-5433
Practice Fax: 702-944-0471

Directions to “ASD.ME, LLC ” 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 © 2007-2025 (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.