Shannon Christine Breitenstein, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

090759 Issued in IA

Practice address

3920 Glass Rd NE Apt B
Cedar Rapids, IA 52402-2508

Phone

(319) 361-4248

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

Yes

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.

• Driftless Counseling LLC

  • Mental Health Counselor
  • Decorah, IA
  • NPI 1407627839
  Medicare reassignment Care Compare group NPD Authorized official IA, Mental Health
• Wellful Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waukon, IA
  • NPI 1346020740
  NPD

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Driftless Counseling LLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IA

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2024.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1215534359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 S MILL ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012432",
            "telephone_number": "319-361-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 GLASS RD NE APT B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022508",
            "telephone_number": "319-361-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 S Mill St",
            "address_purpose": "LOCATION",
            "city": "Decorah",
            "state": "IA",
            "postal_code": "521012432",
            "country_code": "US",
            "telephone_number": "319-361-4248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Paine St Ste L",
            "address_purpose": "LOCATION",
            "city": "Decorah",
            "state": "IA",
            "postal_code": "521012411",
            "country_code": "US",
            "telephone_number": "319-361-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREITENSTEIN",
        "first_name": "SHANNON",
        "middle_name": "CHRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "090759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breaking Barriers Therapy Center
• Shelby Breberg, BSW
• Jessica Jade Brecht
• Elizabeth Breen, LMSW
• Peter Breitbach
• Shaunette Marie Brems
• Courtney Brennaman, PH.D., C.R.C.
• Breza Newcomb Psychotherapy, LLC
• Kristin Breza Newcomb, LISW
• Brianne Guinn Counseling LLC

• All providers in Cedar Rapids, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.