Active NPI
Heather Breanne Stevens, M.S.
- Professional Counselor
- Terre Haute, IN
National Provider Identifier
1497290373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8142
- Practice address
- 6401 S US Highway 41
Gibault Care, Inc.
Terre Haute, IN 47802-4749 - Phone
- (812) 299-1156
- Fax
- (812) 299-0118
- NPI assigned
- Dec 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8142 | SC | Primary |
Addresses
Primary practice location
6401 S US Highway 41
Gibault Care, Inc.
Terre Haute, IN 47802-4749
Mailing address
890 Johnnie Dodds Blvd Unit 3
Mount Pleasant, SC 29464-6129
Phone (843) 884-3888
Other names 1
- Breanne Stevens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 2, 2024 through Dec 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8142 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1497290373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 JOHNNIE DODDS BLVD UNIT 3",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294646129",
"telephone_number": "843-884-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 S US HIGHWAY 41",
"address_2": "GIBAULT CARE, INC.",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024749",
"telephone_number": "812-299-1156",
"fax_number": "812-299-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "HEATHER",
"middle_name": "BREANNE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-30",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "8142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNE",
"last_name": "STEVENS",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.