Individual provider Active NPI

Breanne Schellenbach, LMFT

  • Mental Health Counselor
  • Temecula, CA
National Provider Identifier
1700133964
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
105590 Issued in CA
Practice address
43533 Ridge Park Dr Ste B
Temecula, CA 92590-3615
Phone
(818) 533-8102
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 105590 CA Primary

Addresses

Primary practice location

43533 Ridge Park Dr Ste B
Temecula, CA 92590-3615

Mailing address

43533 Ridge Park Dr Ste B
Temecula, CA 92590-3615
Phone (818) 533-8102

Other practice location 1

10012 Norwalk Blvd Ste 110
Santa Fe Springs, CA 90670-3363
Phone (562) 906-1335

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
105590CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
ASC Treatment Group Past 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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1700133964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43533 RIDGE PARK DR STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903615",
            "telephone_number": "818-533-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43533 RIDGE PARK DR STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903615",
            "telephone_number": "818-533-8102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10012 Norwalk Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906703363",
            "country_code": "US",
            "telephone_number": "562-906-1335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHELLENBACH",
        "first_name": "BREANNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "105590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.