Active NPI
Brenna Elaine Benas, BSW, CADC
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1841636008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 00327-C
- Practice address
- 401 S Martin Luther King Blvd
Las Vegas, NV 89106-4313 - Phone
- (170) 238-5333
- Fax
- (170) 238-5551
- NPI assigned
- May 15, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00327-C | NV | Primary |
Addresses
Primary practice location
401 S Martin Luther King Blvd
Las Vegas, NV 89106-4313
Mailing address
5309 Moun Tain View
Las Vegas, NV 89146
Phone (170) 228-7548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00327-C | NV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fundamental Behavioral Services LLC | Current | Accepting new patients | |
| Legacy Health and Wellness, LLC | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Legacy Health and Wellness, LLC | Current | Accepting new patients |
Locations
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
2921 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 338-8373
3035 S Maryland Pkwy
Ste 110
Las Vegas, NV 89109
Phone (702) 751-2547
Organizations & group practices 4
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
- Las Vegas, NV
- NPI 1699158600
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1457600645
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Las Vegas, NV
- NPI 1003507500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1841636008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 MOUN TAIN VIEW",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "170-228-7548",
"fax_number": "170-238-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S MARTIN LUTHER KING BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064313",
"telephone_number": "170-238-5333",
"fax_number": "170-238-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENAS",
"first_name": "BRENNA",
"middle_name": "ELAINE",
"credential": "BSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00327-C",
"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 May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.