Active NPI
Briana Carbajal
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1811313349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CI2840
- Practice address
- 3127 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3134 - Phone
- (702) 850-8700
- NPI assigned
- Mar 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | CI2840 | NV | Primary |
Addresses
Primary practice location
3127 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3134
Mailing address
3021 Grasswren Dr
North Las Vegas, NV 89084-2234
Phone (702) 530-8929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460732507 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CI2840 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1811313349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 GRASSWREN DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890842234",
"telephone_number": "702-530-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3127 E WARM SPRINGS RD STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203134",
"telephone_number": "702-850-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBAJAL",
"first_name": "BRIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CI2840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460732507",
"state": "NV"
}
],
"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 Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.