BRENDA PRIMERO NP LLC
NPI 1164987871
Clinic/Center - Adult Mental Health in Las Vegas, NV

Active since February 06, 2019
5155 BLUE DIAMOND RD, LAS VEGAS, NV 89139(702) 882-5561(702) 956-9016 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brenda Primero Np Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA PRIMERO NP LLC (NPI 1164987871) is a healthcare organization registered as an adult mental health in Las Vegas, Nevada and active in the NPI registry since February 2019. The organization lists Brenda Primero, President, as its authorized official.

NPPES Registry Identity

NPI1164987871
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBRENDA PRIMERO NP LLC
Location Address5155 BLUE DIAMOND RDLas Vegas, NV 89139-7695
Mailing Address5155 Blue Diamond RdLas Vegas, NV 89139-7695 · (702) 882-5561 · Fax (702) 956-9016
Fax(702) 956-9016
Organization SubpartNo
Authorized OfficialBrenda PrimeroPresident · (702) 882-5561
Enumeration DateFebruary 6, 2019
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
NPI 1164987871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5155 BLUE DIAMOND RD, Las Vegas, NV 89139

Other Identifiers 1

Medicaid1831613025NV

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164987871, enumerated as an "organization" on February 06, 2019.

The provider is located at 5155 BLUE DIAMOND RD LAS VEGAS, NV 89139 and the phone number is (702) 882-5561.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.