Individual provider Active NPI

Breanna Sue Robison, LMHC

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1366864506
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12240 Issued in FL
Practice address
801 International Pkwy Ste 500
Lake Mary, FL 32746-4763
Phone
(321) 233-5565
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 MH12240 FL Primary

Addresses

Primary practice location

801 International Pkwy Ste 500
Lake Mary, FL 32746-4763

Mailing address

801 International Pkwy Ste 500
Lake Mary, FL 32746-4763
Phone (321) 233-5565

Other names 1

  • Breanna Sue Simanton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breanna Simanton LLC Mental Health Current Accepting new patients

Locations

801 International Pkwy
Ste 500
Lake Mary, FL 32746
Phone (407) 562-2000

Interoperability endpoints

  • Direct secure messaging: fbh.breannatalley@141363.advancedmd-direct.com

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": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1366864506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 INTERNATIONAL PKWY STE 500",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464763",
            "telephone_number": "321-233-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 INTERNATIONAL PKWY STE 500",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464763",
            "telephone_number": "321-233-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "BREANNA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "SIMANTON",
            "middle_name": "SUE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.