Individual provider Active NPI

Mark Louis Brana, LCPC, LCADC

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1902129422
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP0197 Issued in NV
Practice address
2520 Saint Rose Pkwy
Suite 202D
Henderson, NV 89074-7783
Phone
(702) 475-1649
NPI assigned
Mar 11, 2010
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00408-LC NV
Mental Health Counselor 101YM0800X CP0197 NV Primary

Addresses

Primary practice location

2520 Saint Rose Pkwy
Suite 202D
Henderson, NV 89074-7783

Mailing address

2520 Saint Rose Pkwy Ste 209
Henderson, NV 89074-7787
Phone (702) 475-1649

Other identifiers 1

IdentifierTypeStateIssuer
1902129422MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814002424 NV Practitioner - Mental Health Counselor 6002352051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00408-LCNVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brana Mental Health LLC Mental Health CurrentSince Jun 9, 2024 Accepting new patients
Premise Health of Nevada Medical Hinitt P C Current Accepting new patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

2520 Saint Rose Pkwy
Ste 202D
Henderson, NV 89074
Phone (702) 475-1649

2520 Saint Rose Pkwy
Ste 209
Henderson, NV 89074
Phone (702) 475-1649

2520 Saint Rose Pkwy
Ste 221
Henderson, NV 89074
Phone (702) 376-5842

653 N Town Center Dr
Ste 112
Las Vegas, NV 89144
Phone (702) 733-0981

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1902129422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY STE 209",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747787",
            "telephone_number": "702-475-1649",
            "fax_number": "702-558-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY",
            "address_2": "SUITE 202D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747783",
            "telephone_number": "702-475-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANA",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00408-LC",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902129422",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.