Individual provider Active NPI

Blaine Michael Brixey, LMFT-I

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1558026906
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI3218 Issued in NV
Practice address
7310 Smoke Ranch Rd
S
Las Vegas, NV 89128-0258
Phone
(702) 456-4262
NPI assigned
Nov 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI3218 NV Primary

Addresses

Primary practice location

7310 Smoke Ranch Rd
S
Las Vegas, NV 89128-0258

Mailing address

5880 Boulder Falls St Apt 2049
Henderson, NV 89011-4963
Phone (702) 815-5933

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

State licenses

LicenseStateTypeSpecialty
MI3218NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal Minds Counseling Marriage & Family Therapist CurrentSince Nov 9, 2021 Accepting new patients

Locations

7310 Smoke Ranch Rd
Ste S
Las Vegas, NV 89128
Phone (702) 456-4262

Organizations & group practices 1

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1558026906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 BOULDER FALLS ST APT 2049",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114963",
            "telephone_number": "702-815-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 SMOKE RANCH RD",
            "address_2": "S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280258",
            "telephone_number": "702-456-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIXEY",
        "first_name": "BLAINE",
        "middle_name": "MICHAEL",
        "credential": "LMFT-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI3218",
            "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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.