Angelina Breeden-Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1503 Kirk Farm LN
202
Charlotte, NC 28213-4048

Phone

(704) 900-6886

NPI assigned

Mar 3, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1902129059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 KIRK FARM LN",
            "address_2": "202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134048",
            "telephone_number": "704-900-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 KIRK FARM LN",
            "address_2": "202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134048",
            "telephone_number": "704-900-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN-SMITH",
        "first_name": "ANGELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Break Every Chain Resource Center Inc
• Cristen Brearey
• Breathe Again Counseling Center
• Breathe Health & Wellness LLC
• Anna Brechon
• Keon Devonte Breeden, LCSWA
• Latoya Cowan Breeden, MED.CCC/SLP
• Christopher Joseph Breedlove, COTA
• Joseph Emanuel Breelove
• Charles A. Bregier Jr., MD

• All providers in Charlotte, NC
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.