Breanna Marie Heintzelman, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2406 Issued in MN

Practice address

311 Brighton Ave S
Suite B
Buffalo, MN 55313-2312

Phone

(320) 266-6170

Fax

(763) 682-2449

NPI assigned

Jun 6, 2013

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

Enrolled in MN

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

Specialty

Marriage and Family Therapist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridging Hope Counseling Services LLCGroup PAC ID 8527560234, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Bridging Hope Counseling Services LLC

  • Clinic/Center
  • Rogers, MN
  • NPI 1598921629
  Medicare reassignment Care Compare group NPD
• Bridging Hope Counseling Services LLC

  • Clinic/Center
  • Buffalo, MN
  • NPI 1508168337
  NPD (past)
• Brunetti Consulting, Inc

  • Clinical Neuropsychologist
  • Rogers, MN
  • NPI 1982719118
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1164860664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MAPLE LN",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132360",
            "telephone_number": "320-266-6170",
            "fax_number": "763-682-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BRIGHTON AVE S",
            "address_2": "SUITE B",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132312",
            "telephone_number": "320-266-6170",
            "fax_number": "763-682-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZELMAN",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Hart, RN
• Jessica Hastings, LPN
• Justyne Judith Hawkinson
• Sara Hazen
• Richard Joseph Heesen, M.D.
• Abigail Marie Helmbrecht, A.D.T.
• Hendrickson Chiropractic PA
• Aaron John Hendrickson, DC
• Kara Marie Hendrickson, MA CF-SLP
• Melissa Rae Hendrickson, RD, LD

• Marriage & Family Therapist in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.