Susan J Lollis-Breeden, MA, LADC/MH

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1434 Issued in OK

Practice address

1737 Linwood Blvd
Oklahoma City, OK 73106-5037

Phone

(405) 239-6815

Fax

(405) 239-2637

NPI assigned

Apr 1, 2015

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-City Youth & Family Center, Inc.

  • Community/Behavioral Health Agency
  • Choctaw, OK
  • NPI 1588812895
  NPD (past)
• Tri-City Youth & Family Center, Inc.

  • Mental Health Counselor
  • Choctaw, OK
  • NPI 1881775211
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1851786347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 NE 23RD ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208728",
            "telephone_number": "405-390-8131",
            "fax_number": "405-835-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 LINWOOD BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065037",
            "telephone_number": "405-239-6815",
            "fax_number": "405-239-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLIS-BREEDEN",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MA, LADC/MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1434",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lohr
• Caitlin Ann Lohrenz
• Akshay P Lokhande, M.D, MHA, MS
• Barundi Nachelle Lolles
• Devin Lolles
• Lasunya Trell Lomack
• Jessica Mary Mathilda Loman, ARNP
• Lexie Lea Loman, MHR, LPC
• Kalen Lomas
• Victoria Lombard

• Addiction (Substance Use Disorder) Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.