Chase Bradley Breitbach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5933 Issued in ND

Practice address

505 Oak St N Apt 434
Fargo, ND 58102-5542

Phone

(701) 260-8303

NPI assigned

Jan 13, 2025

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Breitbach Therapeutic Solutions PLLC

  • Adult Mental Health Clinic/Center
  • Fargo, ND
  • NPI 1114738846

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1730999640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 OAK ST N APT 434",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581025542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OAK ST N APT 434",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581025542",
            "telephone_number": "701-260-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITBACH",
        "first_name": "CHASE",
        "middle_name": "BRADLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine H Breedon, LRD
• Ann Louise Breen
• Gwendolyn Breidenbach
• Terry L Breidenbach, NP
• Breitbach Therapeutic Solutions PLLC
• Dane Arthur Breker, M.D.
• Joanna Brekhus, DO
• Marie L Brekken, PA-C
• James Mikel Breland
• Krista Bremner, RN, BSN

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.