Individual provider Active NPI

Sara Colleen McDaniel Breda, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1346020302
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86841 Issued in TX
Practice address
134 Braniff Dr
San Antonio, TX 78216-3301
Phone
(806) 236-6181
NPI assigned
Oct 5, 2023
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 86841 TX Primary

Addresses

Primary practice location

134 Braniff Dr
San Antonio, TX 78216-3301

Mailing address

134 Braniff Dr
San Antonio, TX 78216-3301

Other names 1

  • Sara McDaniel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250912002573 TX Practitioner - Mental Health Counselor 3971006172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1003 Iron Mesa
San Antonio, TX 78260-2577

16607 Blanco Rd
San Antonio, TX 78232-1910

405 El Portal Dr
San Antonio, TX 78232-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86841TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desta Therapy, LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

16607 Blanco Rd
Ste 12103
San Antonio, TX 78232
Phone (210) 417-7292

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, 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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1346020302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRANIFF DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BRANIFF DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163301",
            "telephone_number": "806-236-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDA",
        "first_name": "SARA",
        "middle_name": "COLLEEN MCDANIEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MCDANIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.