Breanne Ashly Pedersen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401222799 Issued in MI

Practice address

3298 Veterans Dr Ste 1
Traverse City, MI 49684-4725

Phone

(231) 715-8466

Fax

(231) 943-2263

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adaptive Counseling and Case Management LLCGroup PAC ID 8921248139, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adaptive Counseling and Case Management, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Traverse City, MI
  • NPI 1588906119

  Professional

  Medicare reassignment Care Compare group NPD
• Epp Advisory Group, Inc.

  • Professional Counselor
  • Algonquin, IL
  • NPI 1164778593

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1003433715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 VETERANS DR STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844725",
            "telephone_number": "231-715-8466",
            "fax_number": "231-943-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 VETERANS DR STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844725",
            "telephone_number": "231-715-8466",
            "fax_number": "231-943-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "BREANNE",
        "middle_name": "ASHLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401222799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystie Pearson, DPT
• Abigail A Peck, LMSW-C
• Greta Peck, PA-C
• Lisa Peck, CPRM
• Taylor Peck, RBT
• Madison Noelle Pedlar
• Jennifer Pedroza
• Nicole Peffers, PA-C
• Peg Dunn CNM Nurse-Midwifery Service
• Anthony Peltier

• Mental Health Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.