Heidi Richter Brekelbaum, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2401005 Issued in AR

Practice address

4257 N Gabel Dr Ste 3a
Fayetteville, AR 72703-5038

Phone

(479) 601-6106

NPI assigned

Jun 23, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1720460900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 N CLIFFSIDE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013813",
            "telephone_number": "479-601-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 N GABEL DR STE 3A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035038",
            "telephone_number": "479-601-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREKELBAUM",
        "first_name": "HEIDI",
        "middle_name": "RICHTER",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2401005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Stilinovic Breard, PA-C
• Brandon Breard, DDS
• Breast Treatment Associates, P.a.
• Jennifer Breathitt, APRN
• Raymond Curtis Bredfeldt, MD
• Christi Brennan, OTR
• Scott Brenner, DO
• Lexus Brettell
• Lukas Brettin, PTA
• Ashlea Veronica Brewer, NP

• Mental Health Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.