Active NPI
Breea Jean Hughes, LCSW-A
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1104579325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P014594
- Practice address
- 4000 Wake Forest Rd Ste 200
Raleigh, NC 27609-6859 - Phone
- (919) 865-8710
- Fax
- (919) 256-0772
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014594 | NC | Primary |
Addresses
Primary practice location
4000 Wake Forest Rd Ste 200
Raleigh, NC 27609-6859
Mailing address
904 Shellbrook CT Apt 4
Raleigh, NC 27609-4216
Phone (336) 401-1633
Other practice location 1
5000 Falls Of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone (919) 865-8710
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
| License | State | Type | Specialty |
|---|---|---|---|
| P014594 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling and Wellness PLLC | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1669944856
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1104579325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 SHELLBROOK CT APT 4",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094216",
"telephone_number": "336-401-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 WAKE FOREST RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096859",
"telephone_number": "919-865-8710",
"fax_number": "919-256-0772"
}
],
"practiceLocations": [
{
"address_1": "5000 Falls Of Neuse Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276095480",
"country_code": "US",
"telephone_number": "919-865-8710",
"fax_number": "919-256-0772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGHES",
"first_name": "BREEA",
"middle_name": "JEAN",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.