Jennifer L Weaver-Breitenbecher, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00673 Issued in RI

Practice address

1635 Mineral Spring Ave
North Providence, RI 02904-4025

Phone

(401) 349-4269

NPI assigned

Feb 6, 2015

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.

• Polaris Counseling & Consulting, LLC

  • Mental Health Counselor
  • North Providence, RI
  • NPI 1689066805
  NPD Authorized official

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1407247836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113987",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029110187",
            "telephone_number": "401-349-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044025",
            "telephone_number": "401-349-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER-BREITENBECHER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc
• Grace Walton
• Mariam Amir Fahmy Wanis
• Katherine Marie Waters, M.D.
• Kelsey Watson, DMD
• Lauren Weil, DPT, OCS
• Wellness Resolutions, LLC
• Wellnorth Medical LLC
• Alison Whitty
• Modupe O Williams, NP-BC

• Mental Health Counselor in North Providence, RI
• Providers in North Providence, RI by specialty
• Mental Health Counselor in Rhode Island

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