Darya Shahbazy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

90108 Issued in NC

Practice address

203 Ultra Dr
Henderson, NV 89074-8339

Phone

(703) 477-0930

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenity Medical Center LLC

  • Primary Care Clinic/Center
  • Henderson, NV
  • NPI 1750925517
  NPD (past)
• Serenity Wellness Center of Las Vegas

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1275017956

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1093227159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ULTRA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748339",
            "telephone_number": "703-477-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ULTRA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748339",
            "telephone_number": "703-477-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAZY",
        "first_name": "DARYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "90108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Himansu R Shah, M.D.
• Kenneth Jayendra Shah, M.D.
• Lopa H. Shah, M.D.
• Meika Shah, MD
• Nirja Shah
• Shahdad K Saeedi DPM PC
• Azadeh Shahryarinejad, M.S., LMFT, M.S., LM
• Shakori Unique Givens PLLC
• Daniel I Shalev, D.D.S.
• Shalini Bhatia PC

• Mental Health Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.