Active NPI
Brighter Life of Nevada LLC
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1063053882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BRIGHTER LIFE OF NEVADA LLC
- Practice address
- 2915 W Charleston Blvd Ste 190
Las Vegas, NV 89102-1978 - Phone
- (702) 849-9185
- NPI assigned
- Oct 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Christopher Simmons
- Title
- Managing Member
- Phone
- (702) 849-9185
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
2915 W Charleston Blvd Ste 190
Las Vegas, NV 89102-1978
Mailing address
325 N Gibson Rd Apt 1421
Henderson, NV 89014-6748
Phone (702) 849-9185
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577059200000",
"number": "1063053882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N GIBSON RD APT 1421",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146748",
"telephone_number": "702-849-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 W CHARLESTON BLVD STE 190",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021978",
"telephone_number": "702-849-9185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER LIFE OF NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-02",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "702-849-9185"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.