Mia Yadira Breuler

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003702 Issued in CT

Practice address

110 Vista Ter
New Haven, CT 06515-2472

Phone

(203) 464-2846

NPI assigned

Jan 30, 2021

Last updated

Jan 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alma Mia Wellness LLC

  • Community/Behavioral Health Agency
  • New Haven, CT
  • NPI 1962128280
  NPD Authorized official

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1609467802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VISTA TER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152472",
            "telephone_number": "203-464-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VISTA TER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152472",
            "telephone_number": "203-464-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREULER",
        "first_name": "MIA",
        "middle_name": "YADIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CT",
            "license": "7903092231",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Davis Brenk II, DO
• Andrea L. Brennan, PA
• Lori Ann Brennan, LMSW
• Stephen Brenner, MD
• Gregory Aaron Breuer, MD, PHD
• Ursula Constant Brewster, MD
• Amelia Breyre
• Brian F Rigney MD PC
• Stephanie Michele Brian
• Kathleen Anne Brick, LCSW

• Professional Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.