Individual provider Active NPI

Bryan Valladares

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1417686445
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7730 W Cheyenne Ave Ste 114
Las Vegas, NV 89129-8412
Phone
(702) 772-2716
Fax
(702) 974-6881
NPI assigned
Jun 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7730 W Cheyenne Ave Ste 114
Las Vegas, NV 89129-8412

Mailing address

3269 Grayson Lake CT
Las Vegas, NV 89129-6614
Phone (305) 205-6752

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250218002339 NV Practitioner - Mental Health Counselor 0648790824 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ar Medical Center LLCGroup PAC ID 2567974082, 5 clinicians
Symphony Mind LLCGroup PAC ID 3375996564, 5 clinicians
Citi MedGroup PAC ID 9739529272, 5 clinicians

Practice addresses (Care Compare)

2121 E Flamingo Rd
Las Vegas, NV 89119-5124
Phone (702) 302-3570

2621 W Charleston Blvd
Suite D
Las Vegas, NV 89102-2121
Phone (615) 578-4065

5440 W Sahara Ave
Suite 202
Las Vegas, NV 89146-0361
Phone 70260251064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Citi Med Mental Health CurrentSince Dec 13, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Ar Medical Center LLC Single Specialty CurrentSince May 17, 2025 Accepting new patients
Symphony Mind LLC Single Specialty CurrentSince Jan 11, 2026 Accepting new patients
Phoenix Mental Health, PLLC Mental Health CurrentSince Jun 12, 2022 Accepting new patients
Therapy of Southern Nevada LLC Single Specialty Past Accepting new patients

Locations

203 S Water St
Ste 206
Henderson, NV 89015

5440 W Sahara Ave
Ste 202
Las Vegas, NV 89146
Phone (702) 296-4844

7730 W Cheyenne Ave
Ste 114
Las Vegas, NV 89129
Phone (702) 487-3242

2621 W Charleston Blvd
Ste D
Las Vegas, NV 89102
Phone (615) 578-4065

2121 E Flamingo Rd
Ste 216
Las Vegas, NV 89119
Phone (702) 302-3570

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1417686445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 GRAYSON LAKE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296614",
            "telephone_number": "305-205-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W CHEYENNE AVE STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298412",
            "telephone_number": "702-772-2716",
            "fax_number": "702-974-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.