Individual provider Active NPI

Lori Danielle Breland, LPC-A

  • Professional Counselor
  • Morganton, NC
National Provider Identifier
1619530383
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A13802 Issued in NC
Practice address
220 W Union St
Morganton, NC 28655-3764
Phone
(828) 475-6544
Fax
(828) 475-6545
NPI assigned
Apr 18, 2019
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14769 NC
Professional Counselor 101YP2500X A13802 NC Primary

Addresses

Primary practice location

220 W Union St
Morganton, NC 28655-3764

Mailing address

220 W Union St
Morganton, NC 28655-3764
Phone (828) 475-6544

Other identifiers 1

IdentifierTypeStateIssuer
A14769OtherNCLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL wisdompathnc@gmail.com
Other URL wisdompathnc@gmail.com

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

LicenseStateTypeSpecialty
A14769NCMDMental Health Counselor
A13802NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mischief Managed, PLLC Mental Health Current Accepting new patients
Repay, Inc. Past Accepting new patients
Wisdom Path, PLLC Mental Health PastSince Mar 14, 2015 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1619530383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553764",
            "telephone_number": "828-475-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553764",
            "telephone_number": "828-475-6544",
            "fax_number": "828-475-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELAND",
        "first_name": "LORI",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14769",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A14769",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wisdompathnc@gmail.com",
            "affiliation": "N",
            "address_1": "220 W Union St",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286553764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wisdompathnc@gmail.com",
            "affiliation": "N",
            "address_1": "220 W Union St",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286553764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.