Brokenshells Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BROKENSHELLS CONSULTING LLC

Doing business as

Brokenshells Consulting LLC

Practice address

800 N Rainbow Blvd Ste 208
Las Vegas, NV 89107-1193

Phone

(404) 428-0019

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Jazmine Smith, MFT-INPI 1134420862

Title

Owner

Phone

(404) 428-0019

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brokenshells Consulting LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jazmine Smith

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1134420862
  NPD (past) Authorized official

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1790357648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 BROXBURN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071193",
            "telephone_number": "404-428-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKENSHELLS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-428-0019",
        "authorized_official_credential": "MFT-I"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-2143136",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "800 N Rainbow Blvd Ste 208",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891071193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brokenshells Consulting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sari-Breann Broge
• Gina Laura Brogna
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• Broken Silence, Inc.
• Broken to Art LLC
• Brokenshells Wellness Center LLC
• Thomas Brombacher, D.O.
• Rebecca Elaine Bromley, PHARMD
• Shaira Mae Bronola
• Jennifer Bronsdon

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.