Breanne Moore, LMFT
Individual provider Active NPI Marriage & Family Therapist · Portland, TN
NPI 1821530627 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1821530627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT109213 (CA)
- Practice address
- 201 N Broadway Ste C218
Portland, TN 37148-1111 - Phone
- (951) 532-6008
- NPI assigned
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF95818 | CA | MD | Marriage & Family Therapist |
| LMFT109213 | CA | MD | Marriage & Family Therapist |
| 1934 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Access Network Non Profit Corporation | Past | Accepting new patients | |
| Sierra Counseling Psychotherapy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1934 | TN | |
| Marriage & Family Therapist | 106H00000X | IMF95818 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT109213 | CA | Yes |
Addresses
Primary practice location
201 N Broadway Ste C218
Portland, TN 37148-1111
Mailing address
201 N Broadway Ste C218
Portland, TN 37148-1111
Phone (951) 532-6008
Other practice location 1
1063 Deasy Ln
Portland, TN 37148-2232
Phone (951) 532-6008
Other providers in Portland, TN
- Gaylea McDougal
- Brittney Meador
- Ashley Eden Mesler
- Michael D. Littell, D.O., PC
- Melvin G. Mitchell
- Renee Ashley Moss
- Shane Mouser
- N Middle TN Emergency Physicians PLLC
- Lisa Nazarenus
- Wendy Diane Novak
All providers in Portland, TN · Marriage & Family Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.