Breanna Morris Carter, M.ED. LPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC012742 Issued in GA

Practice address

326 Myrtle Crossing Dr Ste 200
Statesboro, GA 30458-4689

Phone

(912) 489-7590

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Fresh Start Counseling Services

  • Professional Counselor
  • Statesboro, GA
  • NPI 1093029019
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1306592340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MYRTLE CROSSING DR STE 200",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584689",
            "telephone_number": "912-278-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MYRTLE CROSSING DR STE 200",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584689",
            "telephone_number": "912-489-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BREANNA",
        "middle_name": "MORRIS",
        "credential": "M.ED. LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bremcarter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "referral",
            "address_1": "326 Myrtle Crossing Dr Ste 200",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304584689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Presley Caplinger
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• Thomas Carico, MD
• Carolina Surgical Oncology, PC
• Elyse Bridget Casher, MSW, LCSW
• Stephen Cauley, O.D.
• Cedar Surgical Associates, PC
• Cesar Clinic, LLC (East Georgia Gastroenterology Center)
• Emily Champion, OD

• Professional Counselor in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.