Emily Breedlove

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

79532 Issued in TX

Practice address

305 N Heatherwilde Blvd Ste 310
Pflugerville, TX 78660-4195

Phone

(512) 704-8349

Fax

(512) 693-4006

NPI assigned

Aug 31, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Otter and Elm Mental Health Counseling

  • Mental Health Counselor
  • Austin, TX
  • NPI 1134054885
  NPD Authorized official
• Insight Psychology and Behavioral Health Services LLC

  • Psychologist
  • Austin, TX
  • NPI 1316375371
  NPD

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1386257111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 310",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604195",
            "telephone_number": "512-704-8349",
            "fax_number": "512-693-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 310",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604195",
            "telephone_number": "512-704-8349",
            "fax_number": "512-693-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Bremer
• Brenda R. Gentry DDS, PA
• Lindsay K Brettmann, MD
• Megan Long Briggs, SPEECH LANGUAGE PATH
• Bright Life Adult Day Supportive Services, LLC

• Professional Counselor in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.