Sarah Elisabeth Breseke, M.A, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2007002394 Issued in MO

Practice address

601 W Nifong Blvd
Building 5a
Columbia, MO 65203-6804

Phone

(573) 214-0436

NPI assigned

May 15, 2007

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

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Sarah Breseke

  • Counselor
  • Fort Collins, CO
  • NPI 1558852566
  NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386850204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W BRANDON RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033574",
            "telephone_number": "573-639-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD",
            "address_2": "BUILDING 5A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-214-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESEKE",
        "first_name": "SARAH",
        "middle_name": "ELISABETH",
        "credential": "M.A, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007002394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Scott Breitzig, D.C., FNP-C
• Laura D Breitzig, MSN, FPMHNP, PMH-C
• Marina Rae Brendel, MD
• Lisa Marie Brennaman, MD
• Laura L. Brenner, PH.D.
• Lauren Wood Breshears, N.P.
• Julie Marie Bresnahan, FNP-BC
• Maureen Barbara Bressett, RPH
• Allison Marie Brett, MOT OTR/L
• Brandon P Brewer, MD

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.