Breanna Lopuch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

712 13TH St S
Great Falls, MT 59405-2344

Phone

(406) 761-4150

Fax

(406) 761-4156

NPI assigned

Jan 26, 2022

Sex

Female

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 MT

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

Locations

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.

• Discovery Family Counseling Services, LLC

  • Mental Health Counselor
  • Great Falls, MT
  • NPI 1508253527
  Medicare reassignment NPD

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1790438125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2342",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594032342",
            "telephone_number": "406-761-4150",
            "fax_number": "406-761-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 13TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052344",
            "telephone_number": "406-761-4150",
            "fax_number": "406-761-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPUCH",
        "first_name": "BREANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Wolf Counseling, LLC
• Bridget Loomis, CCC-SLP
• Robert Loomis, LCSW
• Jacqueline Lopez, CPM
• Jesse F Lopez, M.P.T.
• Tracy Jo Lords, DO
• Jeffrey Lorio, PHARMD
• Mollie Losoya, BCBA
• Courtney Lott
• Stacey Loutzenhiser

• Clinical Social Worker in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.