Organization Active NPI

Summerland Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1336980937
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUMMERLAND MENTAL HEALTH LLC
Practice address
2400 N Tenaya Way Ste 131
Las Vegas, NV 89128-0420
Phone
(702) 608-6403
NPI assigned
Jun 5, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jenali BricherNPI 1568864486
Title
Owner
Phone
(614) 886-1219

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20240802000909 NV Part B Supplier - Clinic/Group Practice 9739626193 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2400 N Tenaya Way
Ste 131
Las Vegas, NV 89128
Phone (702) 608-6403

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

2400 N Tenaya Way Ste 131
Las Vegas, NV 89128-0420

Mailing address

8705 Nautical Bay LN
Las Vegas, NV 89117-3502
Phone (614) 886-1219

Other names 2

NPPES NPI Registry
  • Summerland Mental Health Doing business as
  • Summerlin Mental Health LLC Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2025.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1336980937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 NAUTICAL BAY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173502",
            "telephone_number": "614-886-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N TENAYA WAY STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280420",
            "telephone_number": "702-608-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLAND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BRICHER",
        "authorized_official_first_name": "JENALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-886-1219"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerland Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summerland Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summerlin Mental Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.