Breanne L Walker, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2671 Issued in NH

Practice address

16 Fifth St
Dover, NH 03820-2930

Phone

(603) 689-7890

NPI assigned

Nov 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

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.

• The Counseling Center of Nashua Inc

  • Clinical Psychologist
  • Nashua, NH
  • NPI 1144275389
  Medicare reassignment NPD
• Shortridge Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Milton, NH
  • NPI 1346792835
  NPD

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1487921615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FIFTH ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FIFTH ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202930",
            "telephone_number": "603-689-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Needham",
            "state": "MA",
            "postal_code": "024943036",
            "country_code": "US",
            "telephone_number": "603-842-0257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 Governors Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "NH",
            "postal_code": "038514757",
            "country_code": "US",
            "telephone_number": "603-755-3096 x5012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 Sagamore Ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038015503",
            "country_code": "US",
            "telephone_number": "603-957-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BREANNE",
        "middle_name": "L",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VK Dover, LLC
• Yuttiwat Vorakunthada, M.D.
• Shaun Michael Voss, APRN
• Kathryn Wadleigh, APRN
• Walgreen Eastern Co Inc
• Lauren Walker, CNM
• Sharon G Walker, APRN
• Derek Brian Wall, MD
• Emily Mary Nelson Walsh, LICSW
• Michael Walsh, LMT

• Mental Health Counselor in Dover, NH
• Providers in Dover, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.