Sarah Bissland Breithaupt, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011299 Issued in IL

Practice address

640 N. River Road Suite 108
Fox Valley Institute
Naperville, IL 60563

Phone

(630) 718-0717

Fax

(630) 718-0747

NPI assigned

Jul 16, 2014

Last updated

May 14, 2022By the provider in NPPES

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

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of Dupage Department of HealthGroup PAC ID 4981695103, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Dupage Department of Health

  dba DuPage County Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wheaton, IL
  • NPI 1134110786
  Medicare reassignment Care Compare group NPD
• County of Dupage Department of Health

  dba Dupage County Health Department The Community Center

  • Health Service Clinic/Center
  • Wheaton, IL
  • NPI 1932892999
  NPD
• Fox Valley Institute for Growth and Wellness Inc

  • Counselor
  • Naperville, IL
  • NPI 1174637334
  NPD (past)
• Revelations RX PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1265124846
  NPD (past)

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1407263064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873977",
            "telephone_number": "630-682-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N. RIVER ROAD SUITE 108",
            "address_2": "FOX VALLEY INSTITUTE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-718-0717",
            "fax_number": "630-718-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITHAUPT",
        "first_name": "SARAH",
        "middle_name": "BISSLAND",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.