Individual provider Active NPI

Madeline Breay, LLPC

  • Mental Health Counselor
  • Ada, MI
National Provider Identifier
1629965223
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451024337 Issued in MI
Practice address
7195 Thornapple River Dr SE Ste C
Ada, MI 49301-8411
Phone
(616) 929-0248
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451024337 MI Primary

Addresses

Primary practice location

7195 Thornapple River Dr SE Ste C
Ada, MI 49301-8411

Mailing address

7195 Thornapple River Dr SE Ste C
Ada, MI 49301-8411

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
6451024337MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Sana Initiative, LLC PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1629965223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 THORNAPPLE RIVER DR SE STE C",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 THORNAPPLE RIVER DR SE STE C",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018411",
            "telephone_number": "616-929-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAY",
        "first_name": "MADELINE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.