Breanna M Clynes, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

202102-78 Issued in MO

Practice address

200 NE Missouri Rd Ste 307
Lees Summit, MO 64086-4722

Phone

(816) 839-9427

NPI assigned

Jul 12, 2021

Last updated

Apr 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Turning Leaf Counseling and Consultation, LLC

  • Community/Behavioral Health Agency
  • Lee's Summit, MO
  • NPI 1528372588
  NPD
• Be Happy KC LLC

  dba Ellie Mental Health

  • Professional Counselor
  • Lee's Summit, MO
  • NPI 1720701329
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1689246464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD STE 307",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "816-839-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD STE 307",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "816-839-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYNES",
        "first_name": "BREANNA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "202102-78",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06142021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Colleen Clifton, LMSW
• Jessica Cline
• Kendall Renae Cline
• Erica Kathryn Clough, FNP-C
• Cailey Clouse
• Caleb Coale, ATC
• Richard D. Coats, M.D.
• Christopher Cobb, LPC
• Ingenue Faith Cobbinah, M.D.
• Janita-Jade Coffey, APRN

• Mental Health Counselor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.