Breelynd Eggleston, M.ED., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006015-1 Issued in NY

Practice address

236 East Main Street
Richfield Springs, NY 13439

Phone

(315) 219-6722

NPI assigned

Nov 3, 2017

Last updated

Nov 3, 2017By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1699287318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "134390569",
            "telephone_number": "315-219-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 EAST MAIN STREET",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "13439",
            "telephone_number": "315-219-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "BREELYND",
        "name_prefix": "Ms.",
        "credential": "M.ED., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "006015-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006015-1",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "006015-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Bailey, DNP, FNP-BC
• Sally Mae Crawford
• Gessika Analise Douglas, LPN
• Jennifer Anne Doxtater, OTR/L
• Linda Lee Hectus I, LPN
• Brian Hoyt
• Jamie Defazio
• Tara Jones, M.D.
• Mary Kohler, LPN

• Mental Health Counselor in Richfield Springs, NY
• Providers in Richfield Springs, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.