Rebecca Jo Breiman, LSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7210783-6006 Issued in UT

Practice address

514 Wilson Ave
Salt Lake City, UT 84105-2912

Phone

(801) 359-8862

Fax

(801) 532-8820

NPI assigned

Oct 29, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1114227766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 WILSON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052912",
            "telephone_number": "801-359-8862",
            "fax_number": "801-532-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 WILSON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052912",
            "telephone_number": "801-359-8862",
            "fax_number": "801-532-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIMAN",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "credential": "LSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "7210783-6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Max Brcko
• Kylie Dawn Brechlin
• Jacob Breecker
• Emily A Breen
• Rachel Brehm, MD
• Lindsay P Breinholt, C.N.M.
• Shonti G. Breisch, PA-C
• Kristi Brelsford
• Eliza Bremer
• Corrie L Brems

• Addiction (Substance Use Disorder) Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.