Active NPI
Bryan Masaru Okamura
- Counselor
- Las Vegas, NV
National Provider Identifier
1497218283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6171 W Charleston Blvd BLDG 10
Las Vegas, NV 89146-1126 - Phone
- (702) 486-7451
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6171 W Charleston Blvd BLDG 10
Las Vegas, NV 89146-1126
Mailing address
10317 Canvas Canyon CT
Las Vegas, NV 89178-6541
Phone (702) 614-6669
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 |
|---|---|---|---|
| State of Nevada - Sncas Case Management | Past | Accepting new patients | |
| State of Nevada - Sncas Outpatient | Past | Accepting new patients |
Organizations & group practices 2
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
- North Las Vegas, NV
- NPI 1679640023
-
- Adolescent and Children Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1568539914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1497218283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10317 CANVAS CANYON CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891786541",
"telephone_number": "702-614-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6171 W CHARLESTON BLVD BLDG 10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461126",
"telephone_number": "702-486-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAMURA",
"first_name": "BRYAN",
"middle_name": "MASARU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.