Zachary B Breunig
Individual provider Active NPI Marriage & Family Therapist · Lincoln, NE
NPI 1235566225 · NPPES record last updated Oct 4, 2013
Key facts
- NPI
- 1235566225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 10090 (NE)
- Practice address
- 7100 S 29TH St Ste B
Lincoln, NE 68516-6056 - Phone
- (402) 476-0104
- NPI assigned
- Oct 4, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1295 Bandana Blvd W
Suite 210
Saint Paul, MN 55108-5126
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220001369 | IL | Practitioner - Marriage and Family Therapist | 6608226436 | |
| I20251023003498 | WA | Practitioner - Marriage and Family Therapist | 6608226436 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10090 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program PC | Current |
Accepting new patients | |
| Emily Program P C | Current |
Accepting new patients | |
| Better Living Counseling Services, Inc. | Past |
Accepting new patients |
Locations
2265 Como Ave
Saint Paul, MN 55108
673 Woodland Square Loop SE
Ste 330
Olympia, WA 98503
Phone (415) 710-6689
2020 E 29th Ave
Ste 200
Spokane, WA 99203
Phone (509) 252-1366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 10090 | NE | Yes |
Addresses
Primary practice location
7100 S 29TH St Ste B
Lincoln, NE 68516-6056
Mailing address
7320 Jacobs Creek Dr Apt 431
Lincoln, NE 68512-9568
Phone (608) 852-4804
Other providers in Lincoln, NE
- Jordyn Brester
- Mary Patricia Breton
- Shannon Mariea Bretthauer
- Shelbi Bretz
- Kortnie Breunig
- Ashley L Brewer
- Craig S Brewer
- Dustin Brewer
- Jessica Elizabeth Brewer
- Rachel Brewer
All providers in Lincoln, NE · Marriage & Family Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.