Breanna Lynn, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14950 Issued in CA

Practice address

6695 E Pacific Coast Hwy Ste 135
Long Beach, CA 90803-4235

Phone

(562) 431-5100

NPI assigned

May 30, 2013

Last updated

Oct 26, 2023By 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 1

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.

• Novus Mindful Life Institute

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1558679696
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1689011793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY STE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034235",
            "telephone_number": "562-431-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY STE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034235",
            "telephone_number": "562-431-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "BREANNA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Ly, D.C.
• Peter Joseph Lydon, LCSW
• Julianna M Lyell, PSY.D.
• Ava Lyman
• Ruth Elaine Lynch, LMFT
• Colleen E. Lynn, M.F.T.
• Janet Lynn, SP6251
• Lynott Chiropractic Inc
• Lynott Chiropractic, Inc (Lynott Chiropractic & Acupuncture)
• Nathanial Frederick Lynott, D.C., L.AC

• Professional Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.