Active NPI
Breanna Stuard, MA
- Marriage & Family Therapist
- The Woodlands, TX
National Provider Identifier
1811644065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204354
- Practice address
- 25511 Budde Rd Ste 1502
The Woodlands, TX 77380-2081 - Phone
- (832) 233-8269
- NPI assigned
- Mar 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 85080 | TX | |
| Marriage & Family Therapist | 106H00000X | 204354 | TX | Primary |
Addresses
Primary practice location
25511 Budde Rd Ste 1502
The Woodlands, TX 77380-2081
Mailing address
9959 Valance Way
Conroe, TX 77385-2015
Phone (832) 233-8269
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85080 | TX | MD | Professional Counselor |
| 204354 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1811644065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9959 VALANCE WAY",
"city": "CONROE",
"state": "TX",
"postal_code": "773852015",
"telephone_number": "832-233-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25511 BUDDE RD STE 1502",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802081",
"telephone_number": "832-233-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUARD",
"first_name": "BREANNA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85080",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.