Active NPI
Brianisha Maria Jordan
- Behavior Analyst
- N Las Vegas, NV
National Provider Identifier
1225464779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5185 Camino Al Norte
Suite 120
N Las Vegas, NV 89031-2415 - Phone
- (702) 600-9433
- NPI assigned
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Nutritionist | 133N00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5185 Camino Al Norte
Suite 120
N Las Vegas, NV 89031-2415
Mailing address
5185 Camino Al Norte
Suite 120
N Las Vegas, NV 89031-2415
Phone (702) 600-9433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1404690171 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawn and Alice Counseling Service | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- N Las Vegas, NV
- NPI 1164859351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1225464779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5185 CAMINO AL NORTE",
"address_2": "SUITE 120",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890312415",
"telephone_number": "702-600-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5185 CAMINO AL NORTE",
"address_2": "SUITE 120",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890312415",
"telephone_number": "702-600-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BRIANISHA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1404690171",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.