Individual provider Active NPI

Breanna Leigh Katz, LCSW

  • Clinical Social Worker
  • Parker, CO
National Provider Identifier
1447780911
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926969 Issued in CO
Practice address
9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789
Phone
(970) 310-3406
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09926969 CO Primary
Social Worker 104100000X 61525 TX

Addresses

Primary practice location

9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789

Mailing address

20935 Omaha Ave
Parker, CO 80138-3006
Phone (214) 226-2763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190513000756 TX Practitioner - Clinical Social Worker 3274876370 Reassigns benefits to 2 organizations
I20210112000889 CO Practitioner - Clinical Social Worker 3274876370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Counseling and Psychotherapy PLLCGroup PAC ID 7517197858, 6 clinicians

Practice addresses (Care Compare)

6380 Lyndon B Johnson Fwy
Suite 299
Dallas, TX 75240-6439
Phone (972) 755-0996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61525TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Psychiatry LLC Current Accepting new patients
Mile High Psychiatry LLC CurrentSince Aug 1, 2025 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Apr 15, 2019 Accepting new patients
Mile High Psychiatry, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1447780911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20935 OMAHA AVE",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383006",
            "telephone_number": "214-226-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD STE 440",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388789",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "BREANNA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926969",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "61525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.