Active NPI
Breeanna Fout, ALC
- Professional Counselor
- Mountain BRK, AL
National Provider Identifier
1730845496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ALC04666
- Practice address
- 3 Office Park Cir Ste 308
Mountain BRK, AL 35223-2536 - Phone
- (205) 471-7405
- NPI assigned
- Nov 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ALC04666 | AL | Primary |
Addresses
Primary practice location
3 Office Park Cir Ste 308
Mountain BRK, AL 35223-2536
Mailing address
3 Office Park Cir Ste 308
Mountain BRK, AL 35223-2536
Phone (205) 471-7405
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
| License | State | Type | Specialty |
|---|---|---|---|
| ALC04666 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenwood Inc | 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.
-
- Speech-Language Pathologist
- Birmingham, AL
- NPI 1265690150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1730845496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OFFICE PARK CIR STE 308",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352232536",
"telephone_number": "205-471-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 OFFICE PARK CIR STE 308",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352232536",
"telephone_number": "205-471-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUT",
"first_name": "BREEANNA",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "ALC04666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain BRK, AL
- Forefront Dermatology, S.C. (Village Dermatology)
- Forefront Dermatology, S.C. (Village Dermatology, A Forefront Dermatology Practice)
- Checara Foster, ALC
- Lauren Foster, LPC
- Lauren Bartmess Foster, MS, LPC
- Kirsten Rea Fox
- Charles Derrick Franklin, OD
- Lauren Kasi Freeman
- Grace P Gaines
- Stacey Wade Gann, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.