Individual provider Active NPI

December Breidel, MA, LPC

  • Mental Health Counselor
  • Highlands Ranch, CO
National Provider Identifier
1275274458
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2212 Hyacinth Rd
Highlands Ranch, CO 80129-6303
Phone
(303) 928-2627
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2212 Hyacinth Rd
Highlands Ranch, CO 80129-6303

Mailing address

9249 S Broadway Unit 200-349
Highlands Ranch, CO 80129-5690
Phone (303) 928-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004785 CO Practitioner - Mental Health Counselor 1456890987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
One Step Beyond Counseling CurrentSince Jun 18, 2024 Accepting new patients

Locations

1745 Shea Center Dr
Ste 400
Highlands Ranch, CO 80129
Phone (720) 344-4867

9249 S Broadway
Unit 200349
Highlands Ranch, CO 80129

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1275274458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 S BROADWAY UNIT 200-349",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295690",
            "telephone_number": "303-928-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 HYACINTH RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296303",
            "telephone_number": "303-928-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIDEL",
        "first_name": "DECEMBER",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.