Breann Sharee Ellis

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710104059 Issued in VA

Practice address

15064 Carrollton Blvd Ste 9
Carrollton, VA 23314-3580

Phone

(757) 401-2504

NPI assigned

Jun 27, 2026

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Home Sweet Home Childcare LLC

  • Community/Behavioral Health Agency
  • Carrollton, VA
  • NPI 1932059656

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1782518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1770409237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15064 CARROLLTON BLVD STE 9",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143580",
            "telephone_number": "757-401-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15064 CARROLLTON BLVD STE 9",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143580",
            "telephone_number": "757-401-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BREANN",
        "middle_name": "SHAREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0906017448",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710104059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Winston Dial, PA
• Dva Renal Healthcare, Inc.
• E.D. Andrews Consulting, PC
• East Coast Trackchairs LLC
• Eastern VA Orthotics & Prosthetics, Inc
• Catherine Mary Emerick, FNP
• Pamela S Etheridge
• Exceptional Living Counseling, LLC
• Family Behavioral Health & Healing
• Robert Faulkner, PHARM D

• All providers in Carrollton, VA
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.