Shantara Belnavis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CI5096 Issued in NV

Practice address

3340 Topaz St Ste 170
Las Vegas, NV 89121-3906

Phone

(702) 268-7604

NPI assigned

Dec 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Therapy of Southern Nevada LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1821698556
  NPD
• Center for Autism & Behavior Analysis, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1447600143
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1669077780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 S PECOS RD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213906",
            "telephone_number": "702-268-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELNAVIS",
        "first_name": "SHANTARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belmont W. Anderson DPM LTD
• Luke Belmore, DO
• Samantha Gayle Belmore, DO
• Logan Tim Belnap, PA
• Sarah Belnap
• Antoinette D Belote-Binford
• Elena Dimitrova Belova I, PMHNP
• Lauren Belove, PA-C
• Allison Leigh Below
• Mary S Belport, RN

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.