Active NPI
Breanna Paquette, M.S., LPC, LADC
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1831492016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4460
- Practice address
- 1700 W Britton Rd
Oklahoma City, OK 73120-1312 - Phone
- (405) 317-1736
- NPI assigned
- Dec 10, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4460 | OK | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1007 | OK | |
| Mental Health Counselor | 101YM0800X | 4460 | OK |
Addresses
Primary practice location
1700 W Britton Rd
Oklahoma City, OK 73120-1312
Mailing address
8201 Cinnamon Teal Dr
Oklahoma City, OK 73132-3348
Phone (405) 317-1736
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4460 | OK | MD | Obstetrics & Gynecology Physician |
| 1007 | OK | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1831492016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 CINNAMON TEAL DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323348",
"telephone_number": "405-317-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W BRITTON RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731201312",
"telephone_number": "405-317-1736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUETTE",
"first_name": "BREANNA",
"credential": "M.S., LPC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4460",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "1007",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "4460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.