Individual provider Active NPI

Breanne Vanderbilt, MA

  • Mental Health Counselor
  • Easton, PA
National Provider Identifier
1659157253
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1101 Northampton St Ste 201
Easton, PA 18042-4152
Phone
(484) 582-6691
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 Primary

Addresses

Primary practice location

1101 Northampton St Ste 201
Easton, PA 18042-4152

Mailing address

1101 Northampton St Ste 201
Easton, PA 18042-4152
Phone (610) 559-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125004179 PA Practitioner - Mental Health Counselor 2860927084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Chapter Counseling LLCGroup PAC ID 9739613548, 4 clinicians

Practice addresses (Care Compare)

4949 Liberty LN
Suite 140
Allentown, PA 18106-9058
Phone (484) 205-9840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Next Chapter Counseling LLC Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Pinebrook Family Answers CurrentSince Sep 10, 2023 Accepting new patients

Locations

4949 Liberty Ln
Ste 140
Allentown, PA 18106
Phone (484) 205-9840

1101 Northampton St
Ste 201
Easton, PA 18042
Phone (610) 559-8151

Organizations & group practices 2

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1659157253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NORTHAMPTON ST STE 201",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424152",
            "telephone_number": "610-559-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NORTHAMPTON ST STE 201",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424152",
            "telephone_number": "484-582-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBILT",
        "first_name": "BREANNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.