Brandee Nicole Davis, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI1225 Issued in NV

Practice address

4915 Alta Dr
Las Vegas, NV 89107-3921

Phone

(702) 704-4244

NPI assigned

Dec 18, 2019

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

Enrolled in NV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fundamental Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1699158600
  Medicare reassignment NPD
• Bright Heart LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1134947401
  NPD
• Therapeutic Wellness Services, Inc

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1639478381
  NPD
• Clearwaters Family Guidance and Wellness Centers LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1730489154
  NPD (past)
• Clearwaters Family Guidance and Wellness Centers,LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1326482514
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1346888583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 BLACK SAGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186042",
            "telephone_number": "510-285-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073921",
            "telephone_number": "702-704-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 N Rancho Dr Ste 142",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303130",
            "country_code": "US",
            "telephone_number": "702-778-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRANDEE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arleta Davis
• Ashley Davis, PA
• Ben David Davis, MD
• Bethany Davis, PMHNP
• Beyonce Mariah Davis, RN
• Brian Adam Davis, M.D.
• Bryan Davis
• Bryan Davis
• Bryce Christian Davis
• Candy Davis

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.