Individual provider Active NPI

Breanna D Cansler, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1366173148
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67871 Issued in TX
Practice address
13100 Wortham Center Dr Ste 366
Houston, TX 77065-5635
Phone
(260) 246-8800
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 67871 TX Primary

Addresses

Primary practice location

13100 Wortham Center Dr Ste 366
Houston, TX 77065-5635

Mailing address

101 W Louis Henna Blvd Ste 300
Austin, TX 78728-1203
Phone (512) 244-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220906002051 TX Practitioner - Clinical Social Worker 3870977168
I20250826002709 IN Practitioner - Clinical Social Worker 3870977168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5625 N German Church Rd
Unit 2281
Indianapolis, IN 46235-8513

5625 N German Church Rd PMB
Suite 2281
Indianapolis, IN 46235-8513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67871TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myndful Outreach Clinical CurrentSince Mar 20, 2025 Accepting new patients
Myndful Impact PLLC Clinical CurrentSince Mar 10, 2025 Accepting new patients

Locations

5625 N German Church Rd
Indianapolis, IN 46235
Phone (317) 533-0598

13100 Wortham Center Dr
Ste 366
Houston, TX 77065
Phone (260) 246-8800

Organizations & group practices 2

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1366173148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LOUIS HENNA BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281203",
            "telephone_number": "512-244-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WORTHAM CENTER DR STE 366",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655635",
            "telephone_number": "260-246-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANSLER",
        "first_name": "BREANNA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.