Individual provider Active NPI

Breanna Lee Owen

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1104475102
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1229 Cornwall Ave Ste 307a
Bellingham, WA 98225-5023
Phone
(360) 209-7333
Fax
(360) 215-8886
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61079323 WA
Mental Health Counselor 101YM0800X WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1229 Cornwall Ave Ste 307a
Bellingham, WA 98225-5023

Mailing address

1229 Cornwall Ave Ste 307a
Bellingham, WA 98225-5023
Phone (360) 209-7333

Other names 1

  • Breanna Lee Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61079323WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perceptive Path Counseling & Therapy, PLLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

1901 Cornwall Ave
Bellingham, WA 98225
Phone (360) 712-3844

1229 Cornwall Ave
Ste 307A
Bellingham, WA 98225
Phone (360) 209-7333

Organizations & group practices 1

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1104475102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 CORNWALL AVE STE 307A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255023",
            "telephone_number": "360-209-7333",
            "fax_number": "360-215-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 CORNWALL AVE STE 307A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255023",
            "telephone_number": "360-209-7333",
            "fax_number": "360-215-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "BREANNA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61079323",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "THOMAS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.