Individual provider Active NPI

Breanne Fenning, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1790321883
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008758 Issued in VA
Practice address
1845 Finsbury LN
Virginia Beach, VA 23454-5019
Phone
(757) 301-1385
NPI assigned
Nov 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008758 VA Primary

Addresses

Primary practice location

1845 Finsbury LN
Virginia Beach, VA 23454-5019

Mailing address

1845 Finsbury LN
Virginia Beach, VA 23454-5019
Phone (757) 301-1385

Other practice location 1

317 Office Square Ln Ste 202B
Virginia Beach, VA 23462-3663
Phone (757) 301-1385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240712003270 VA Practitioner - Mental Health Counselor 4981149085 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Virginia Beach, VA 23454
Phone (757) 301-1385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Psychological, LLC PastSince Dec 1, 2019 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": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1790321883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FINSBURY LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545019",
            "telephone_number": "757-301-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 FINSBURY LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545019",
            "telephone_number": "757-301-1385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Office Square Ln Ste 202B",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623663",
            "country_code": "US",
            "telephone_number": "757-301-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENNING",
        "first_name": "BREANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.