Carrie Breedlove, MS, LPC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71749 Issued in TX

Practice address

525 S Locust St Ste 200
Denton, TX 76201-6136

Phone

(940) 600-7527

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Mar 14, 2024 through Mar 14, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19295/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Denton Community Health Clinic

  • Family Medicine Physician
  • Denton, TX
  • NPI 1982972402
  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1174994206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S LOCUST ST STE 200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016136",
            "telephone_number": "940-600-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S LOCUST ST STE 200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016136",
            "telephone_number": "940-600-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "CARRIE",
        "credential": "MS, LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain-Body Connection
• Gloria Leticia Branson
• Mark Branson, AGACNP
• Breast Diagnostics , PA
• Adam Phillip Breceda, M.D.
• Breeze Psychiatry
• Jeffrey Paul Brekke, M.D.
• Bobby (BJ) James Brewer, PT ASST
• Gabrielle Bricker
• Rylan Ann-Marie Brickhouse

• Professional Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.