Individual provider Active NPI

Cinda Renee Breazeale, MS, LMFT, LCDC

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1346824596
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202501 Issued in TX
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

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 3375717044, 72 clinicians

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

LicenseStateTypeSpecialty
5175TXMDAddiction (Substance Use Disorder) Counselor
202501TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC Multi-Specialty CurrentSince Jan 13, 2025 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

Verify at the official NPI Registry.