Active NPI
Breanna Sadler, CDCA
- Addiction (Substance Use Disorder) Counselor
- Portsmouth, OH
National Provider Identifier
1487212445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.176253
- Practice address
- 519 Court St
Portsmouth, OH 45662-3933 - Phone
- (740) 876-4370
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.176253 | OH | Primary |
Addresses
Primary practice location
519 Court St
Portsmouth, OH 45662-3933
Mailing address
PO Box 108
Ironton, OH 45638-0108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400516 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.176253 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Counseling Center LLC | Current | Accepting new patients | |
| Shawnee Counseling Center LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Portsmouth, OH
- NPI 1033695051
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1780278705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1487212445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108",
"city": "IRONTON",
"state": "OH",
"postal_code": "456380108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 COURT ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623933",
"telephone_number": "740-876-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLER",
"first_name": "BREANNA",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.176253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0400516",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.