Individual provider Active NPI

Carol Louise Breiling, PSYD, CATC-V, AMFT

  • Marriage & Family Therapist
  • Woodland, CA
National Provider Identifier
1245665561
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT124395 Issued in CA
Practice address
137 N Cottonwood St
Woodland, CA 95695-6646
Phone
(530) 341-7543
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PSB94026604 CA
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 124395 CA
Adult Development & Aging Psychologist 103TA0700X PSB94026604 CA
Rehabilitation Psychologist 103TR0400X PSB94026604 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X AMFT124395 CA Primary

Addresses

Primary practice location

137 N Cottonwood St
Woodland, CA 95695-6646

Mailing address

2635 Kokanee Way
Sacramento, CA 95826-1912
Phone (707) 365-8008

Other identifiers 2

IdentifierTypeStateIssuer
AMFT124395MedicaidCA
PSB94026604MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Carol.Breiling@yolocounty.org Direct Yolo County Health and Human Services Agency

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Higher Purpose CurrentSince May 1, 2022 Accepting new patients
Youth and Family Services Past Accepting new patients
Yolo County Health and Human Services Agency Past Accepting new patients

Locations

7171 Bowling Dr
Ste 220
Sacramento, CA 95823

Interoperability endpoints

  • Direct secure messaging: carol.breiling@yolocounty.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1245665561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 KOKANEE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958261912",
            "telephone_number": "707-365-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956956646",
            "telephone_number": "530-341-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREILING",
        "first_name": "CAROL",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSYD, CATC-V, AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSB94026604",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "124395",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSB94026604",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSB94026604",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT124395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AMFT124395",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSB94026604",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carol.Breiling@yolocounty.org",
            "affiliation": "Y",
            "endpointDescription": "County Email Address",
            "affiliationName": "Yolo County Health and Human Services Agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "137 N. Cottonwood Street",
            "address_2": "Suite 1500",
            "city": "Woodland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.