Active NPI
Cinda Renee Breazeale, MS, LMFT, LCDC
- Marriage & Family Therapist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202501
- Practice address
- 10300 N Central Expy Ste 220
Dallas, TX 75231-8626 - Phone
- (972) 884-5923
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5175 | TX | |
| Marriage & Family Therapist | 106H00000X | 202501 | TX | Primary |
Addresses
Primary practice location
10300 N Central Expy Ste 220
Dallas, TX 75231-8626
Mailing address
9636 Millridge Cir
Dallas, TX 75243-6115
Phone (214) 621-2294
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://renee-breazeale.clientsecure.me. | Direct | |
| CONNECT URL | https://renee-breazeale.clientsecure.me. | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117003723 | TX | Practitioner - Marriage and Family Therapist | 1355793183 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Senior Psychological Care Dallas I LLC
Practice addresses (Care Compare)
4635 Southwest Fwy
Suite 635
Houston, TX 77027-7112
Phone 71385000491053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5175 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 202501 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Dallas I, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
4501 Plano Pkwy
Carrollton, TX 75010
Phone (469) 701-5300
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
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": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1346824596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9636 MILLRIDGE CIR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436115",
"telephone_number": "214-621-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 N CENTRAL EXPY STE 220",
"city": "DALLAS",
"state": "TX",
"postal_code": "752318626",
"telephone_number": "972-884-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAZEALE",
"first_name": "CINDA",
"middle_name": "RENEE",
"credential": "MS, LMFT, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "5175",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://renee-breazeale.clientsecure.me.",
"affiliation": "N",
"endpointDescription": "secure URL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure EMR",
"address_1": "9636 Millridge Cir",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752436115",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://renee-breazeale.clientsecure.me.",
"affiliation": "N",
"endpointDescription": "secure EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure EMR",
"address_1": "8525 Audelia Rd",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752384201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.