Organization Active NPI

Brenda Primero NP LLC

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1164987871
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BRENDA PRIMERO NP LLC
Practice address
5155 Blue Diamond Rd
Las Vegas, NV 89139-7695
Phone
(702) 882-5561
Fax
(702) 956-9016
NPI assigned
Feb 6, 2019
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Mrs. Brenda Primero, APRN, NP-C, PMHNP-BCNPI 1831613025
Title
President
Phone
(702) 882-5561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

5155 Blue Diamond Rd
Las Vegas, NV 89139-7695

Mailing address

5155 Blue Diamond Rd
Las Vegas, NV 89139-7695
Phone (702) 882-5561

Other identifiers 1

IdentifierTypeStateIssuer
1831613025MedicaidNV

National Provider Directory

National Provider Directory

Locations

5155 Blue Diamond Rd
Las Vegas, NV 89139
Phone (702) 882-5561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1164987871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 BLUE DIAMOND RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397695",
            "telephone_number": "702-882-5561",
            "fax_number": "702-956-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 BLUE DIAMOND RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397695",
            "telephone_number": "702-882-5561",
            "fax_number": "702-956-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA PRIMERO NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "PRIMERO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-882-5561",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, NP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831613025",
            "state": "NV"
        }
    ],
    "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 Jul 18, 2025; 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.