Individual provider Active NPI

Breanna Heaney

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1093601684
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC24661 Issued in AZ
Practice address
2222 W Pinnacle Peak Rd Ste 220
Phoenix, AZ 85027-1224
Phone
(480) 454-6383
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC24661 AZ Primary

Addresses

Primary practice location

2222 W Pinnacle Peak Rd Ste 220
Phoenix, AZ 85027-1224

Mailing address

2222 W Pinnacle Peak Rd Ste 220
Phoenix, AZ 85027-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260407001524 AZ Practitioner - Mental Health Counselor 7719452853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8700 E Via de Ventura
Suite 280
Scottsdale, AZ 85258-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC24661AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
FKL Enterprises, LLC PastSince May 1, 2024 Accepting new patients
FKL Enterprises, LLC PastSince Sep 2, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1093601684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W PINNACLE PEAK RD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W PINNACLE PEAK RD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271224",
            "telephone_number": "480-454-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "BREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC24661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.