Breanne Davis

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

BBH-BHPS-CRT-55652 Issued in MT

Practice address

1500 10TH Ave S Ste 200
Great Falls, MT 59405-2619

Phone

(406) 781-9919

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Apple Counseling, LLC

  dba Green Apple Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Great Falls, MT
  • NPI 1336760693
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1548906753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 10TH AVE S STE 200",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052619",
            "telephone_number": "406-781-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 10TH AVE S STE 200",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052619",
            "telephone_number": "406-781-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BREANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MT",
            "license": "BBH-BHPS-CRT-55652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Arden Davalos
• Margaret Janelle Davenport
• Victoria Jean Davenport, LCPC
• David R Neil DDS PC
• Jensa Rae Davidson, LAC
• Samantha Davison
• Zackery Davison, CRNA
• Nafaa H. Dawad, MD
• Donna M Dawsey
• Ryan Dawson

• Peer Specialist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Peer Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.

Verify at the official NPI Registry.