Brynda Jena Cullison, MFT,NCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2591-R Issued in NV

Practice address

2501 N Green Valley Pkwy BLDG D
Henderson, NV 89014-0273

Phone

(702) 605-2766

Fax

(702) 938-9056

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

Specialty

Marriage and Family Therapist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elements of Motivation LLCGroup PAC ID 5294150744, 7 clinicians

Practice addresses (Care Compare)

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.

• Elements of Motivation LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1457644023
  Medicare reassignment Care Compare group NPD
• Claudia Barraza

  • Health Maintenance Organization
  • Las Vegas, NV
  • NPI 1508108549
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1417417809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N GREEN VALLEY PKWY BLDG D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140273",
            "telephone_number": "702-605-2766",
            "fax_number": "702-938-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GREEN VALLEY PKWY BLDG D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140273",
            "telephone_number": "702-605-2766",
            "fax_number": "702-938-9056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 N. Moapa Valley Blvd. Suite C",
            "address_purpose": "LOCATION",
            "city": "Overton",
            "state": "NV",
            "postal_code": "89040",
            "country_code": "US",
            "telephone_number": "702-605-2766",
            "fax_number": "702-938-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLISON",
        "first_name": "BRYNDA",
        "middle_name": "JENA",
        "credential": "MFT,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2591-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Cubias
• Rebecca Cuellar
• Melissa Cuevas
• Annabelle Cuffee
• Gabrial Cullen
• Stefanie Nicole Marissa Cullum
• Culpepper DMD PLLC
• Marah Culpepper, DMD
• Medina Victoria Culver, DO
• Tiechaye Culver

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, 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 Mar 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.