Credentialing by state / Nevada
Therapist Credentialing in Nevada
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
Nevada belongs to PSYPACT and the Counseling Compact, which decides how easily LPCs, LCSWs, LMFTs and psychologists in Las Vegas, Henderson and Reno can treat clients across state lines. It does not change payer enrollment: Nevada Medicaid, Anthem Blue Cross and Blue Shield and Medicare each credential you on their own, whatever your license route.
| PSYPACT (psychologists) | Effective, since July 1, 2020 |
|---|---|
| Counseling Compact (LPC/LMHC) | Member, privileges not yet issued |
| Social Work Compact (LCSW) | Not a member |
| LMFTs | No interstate compact; license in each state |
| Medicare contractor | Noridian Healthcare Solutions, jurisdiction JE |
| Medicaid | Nevada Medicaid, 4 managed-care plans |
| Commercial decision deadline | None found in state law |
Licensure Compacts in Nevada
PSYPACT for psychologists
Nevada's PSYPACT law took effect on July 1, 2020. A psychologist whose home state is Nevada can apply through ASPPB for the E.Passport, which supports the Authority to Practice Interjurisdictional Telepsychology (APIT), and for the IPC, which supports temporary in-person practice (TAP) in other PSYPACT states. Both depend on holding an unrestricted Nevada license, and both are separate from payer enrollment.
Across the border, Arizona, Idaho and Utah also participate; California and Oregon do not, so telepsychology with clients located there still needs that state's own license.
Counseling Compact for LPCs
Nevada has passed the Counseling Compact, but as of October 2026 it is not one of the 10 states issuing privileges, so membership does not yet let a counselor practice across the Nevada line. The Commission says members must finish readiness steps, including data sharing and testing, before going live. Next door, Arizona is already live.
Social Work Licensure Compact for LCSWs
Nevada is not a member of the Social Work Licensure Compact. Even in the 33 member jurisdictions, multistate licenses are not yet available, so for Nevada LCSWs the practical rule is unchanged: a license in each state where clients are located.
Compacts Grant a License Route, Not a Network Seat
A compact privilege is permission to practice; it is not enrollment. A Nevada therapist who adds clients in another state through a compact still needs that state's Medicaid enrollment, a practice location the plans accept there, and a separate application to each commercial plan or behavioral health network in that state. CAQH (DataSpring) carries the extra license or privilege, but every payer decides on its own timeline.
Medicare for Nevada LMFTs and Counselors
Since January 1, 2024, Medicare pays marriage and family therapists and mental health counselors directly, and a Nevada LPC qualifies as a mental health counselor when the license and degree meet the federal definition. Enrollment is the CMS-855I in PECOS, reviewed for Nevada by Noridian Healthcare Solutions; payment is 75% of the clinical psychologist amount. LCSWs and psychologists were already eligible, so for Nevada practices this is the first time every licensed therapist on staff can be a Medicare provider.
Nevada Medicaid and Its Plans
Nevada Medicaid enrollment is filed with the Nevada Division of Health Care Financing and Policy through the Nevada Medicaid Online Provider Enrollment portal (Gainwell). Most members are in managed care, and each plan credentials therapists as its own application once the state enrollment is active. The largest by 2024 enrollment:
- UnitedHealthcare Health Plan of Nevada: 209,874 members, owned by UnitedHealth Group
- Anthem Blue Cross and Blue Shield Healthcare Solutions: 200,552 members, owned by Elevance Health
- SilverSummit Health Plan: 106,497 members, owned by Centene
See all 4 plans; confirm with each one whether it credentials behavioral health directly or through a vendor.
Nevada Rules for Commercial Plans
Insurers, HMOs and MCOs must use the Nevada Uniform Credentialing Form (NDOI Form 901). (NRS 629.095; NAC 679B.0405)
Neighboring States
- Arizona: PSYPACT yes; Counseling Compact live; Social Work Compact enacted
- California: PSYPACT no; Counseling Compact no; Social Work Compact no
- Idaho: PSYPACT yes; Counseling Compact no; Social Work Compact no
- Oregon: PSYPACT no; Counseling Compact no; Social Work Compact no
- Utah: PSYPACT yes; Counseling Compact enacted; Social Work Compact enacted
The full checklist, the carve-out networks and timelines are in our therapist credentialing guide; Medicare, Medicaid and commercial basics for every clinician type are on credentialing in Nevada.
Questions Nevada Therapists Ask
Can a Nevada LPC see clients in another state by telehealth?
Not through the compact yet. Nevada has passed the Counseling Compact but is not issuing privileges as of October 2026, so a license in the client's state is still required. Either way, each payer in that state needs its own enrollment.
Is Nevada a PSYPACT state?
Yes. Nevada's PSYPACT law took effect on July 1, 2020. Nevada psychologists can practice telepsychology into other participating states under APIT once ASPPB issues the E.Passport, but each payer still credentials them per state.
How does a Nevada therapist join Nevada Medicaid?
Enroll with the Nevada Division of Health Care Financing and Policy through the Nevada Medicaid Online Provider Enrollment portal (Gainwell). Nevada Medicaid enrolls 613,298 people across 4 managed-care plans (2024), and each plan you want, such as UnitedHealthcare Health Plan of Nevada, Anthem Blue Cross and Blue Shield Healthcare Solutions, SilverSummit Health Plan, credentials you separately once the state enrollment is active.
Can Nevada LMFTs and counselors bill Medicare?
Yes, since January 1, 2024. Marriage and family therapists and mental health counselors licensed in Nevada enroll on the CMS-855I through PECOS, reviewed by Noridian Healthcare Solutions, and Medicare pays them 75% of the clinical psychologist amount. They need 2 years or 3,000 hours of post-master's supervised clinical experience.
Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources: PSYPACT Commission, participating states map and legislation table; Counseling Compact Commission, member states and news and go-live announcements; Social Work Licensure Compact Commission, member jurisdictions and news and status updates; CMS, Marriage and Family Therapists and Mental Health Counselors; KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024; Nevada statute. Compact status as of October 8, 2026; confirm with the Nevada licensing board before relying on it.