Misty Nicole Breedlove

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.003673

Practice address

81 Township Road 349
Ironton, OH 45638-8617

Phone

(740) 442-7758

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/landofgoshentreatmentcenter/r4/

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.

• Land of Goshen Treatment Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ironton, OH
  • NPI 1003571795
  NPD
• Land of Goshen Treatment Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Ironton, OH
  • NPI 1568822633
  NPD

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1134845134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 TOWNSHIP ROAD 349",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456388617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 TOWNSHIP ROAD 349",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456388617",
            "telephone_number": "740-442-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "MISTY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": "APS.003673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bradley, LSW
• Anna Brady, CDCA
• Mary E Brady, LICDC. LSW
• Kristi C Brammer, LSW
• Nikki Jo Brammer, CDCA
• Sarah Brehm, QMHS
• John Brewer
• Shelbie M Brewer, CDCA
• Jalyn Marie Brickles
• Brianna Bridges

• Peer Specialist in Ironton, OH
• Providers in Ironton, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.