Amanda Marie Breneman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-9154 Issued in ID

Practice address

135 E Calderwood Dr Ste 120
Meridian, ID 83642-8337

Phone

(208) 870-8943

NPI assigned

Mar 1, 2019

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1376000943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 S DAZZLE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424100",
            "telephone_number": "208-870-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E CALDERWOOD DR STE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428337",
            "telephone_number": "208-870-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENEMAN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-9154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breathe Airway Meridian LLC
• Breathe Airway Myo, LLC
• Breathe Airway NP, LLC
• Lesa Marie Breding, LCSW
• Kelsey Michelle Breeding, LPC
• Natasha Michelle Brenner, PT, DPT
• Alia Rose Breon, MD
• Michael Andrew Bressler, DO
• Douglas Wayne Brewer
• Meghan J Brewer

• Mental Health Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.