Active NPI
Carol Louise Breiling, PSYD, CATC-V, AMFT
- Marriage & Family Therapist
- Woodland, CA
National Provider Identifier
1245665561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT124395
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMFT124395 | Medicaid | CA | |
| PSB94026604 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Higher Purpose | Current | 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
- 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sacramento, CA
- NPI 1972247690
-
- Community/Behavioral Health Agency
- Woodland, CA
- NPI 1144352220
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1437450418
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.