Individual provider Active NPI

Katherine Ann Breen, LCSW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1427638311
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64769 Issued in TX
Practice address
306 E Randol Mill Rd Ste 300
Arlington, TX 76011-5839
Phone
(817) 975-5885
NPI assigned
Apr 13, 2021
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64769 TX Primary

Addresses

Primary practice location

306 E Randol Mill Rd Ste 300
Arlington, TX 76011-5839

Mailing address

306 E Randol Mill Rd Ste 300
Arlington, TX 76011-5839
Phone (844) 824-8775

Other practice location 1

4812 Fawn Valley Ct
Arlington, TX 76017-1276
Phone (817) 975-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220927002872 TX Practitioner - Clinical Social Worker 8224414347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

111 University Dr E
Suite 105
College Station, TX 77840-1700
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64769TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 20, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Sep 9, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

111 University Dr E
Ste 105
College Station, TX 77840

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1427638311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E RANDOL MILL RD STE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115839",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E RANDOL MILL RD STE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115839",
            "telephone_number": "817-975-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4812 Fawn Valley Ct",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760171276",
            "country_code": "US",
            "telephone_number": "817-975-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.