Brent Reynolds, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2524-C Issued in NV

Practice address

916 Nevada Hwy
#3
Boulder City, NV 89005-2300

Phone

(702) 294-2866

Fax

(702) 294-2866

NPI assigned

May 4, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• PHC of Nevada Inc

  dba Harmony Healthcare

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1326187782

  Clinical

  NPD
• Boulder Counseling Center Inc

  • Clinical Social Worker
  • Boulder City, NV
  • NPI 1669662862
  NPD (past)
• G Brent Dennis Inc

  • Psychologist
  • Henderson, NV
  • NPI 1477741767
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1093763187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 NEVADA HWY",
            "address_2": "#3",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052300",
            "telephone_number": "702-294-2866",
            "fax_number": "702-294-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NEVADA HWY",
            "address_2": "#3",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052300",
            "telephone_number": "702-294-2866",
            "fax_number": "702-294-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRENT",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2524-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Potter, D.C.
• Karen Leslie Powell
• Pritchett Eye Care PC (ClearVision Eye Centers)
• Doug Raskin
• Sarah Ellen Repp, DPT
• Joy Reynolds
• Maurice Richardson
• Trina Richardson
• Sandra Risley
• Laura Lynn Rivera

• Clinical Social Worker in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.