Individual provider Active NPI

Breanna Louise Carter, MSW CANDIDATE

  • Counselor
  • Spokane, WA
National Provider Identifier
1902344955
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG60744195 Issued in WA
Practice address
9921 N Nevada St Ste 103
Spokane, WA 99218-1145
Phone
(509) 581-2690
Fax
(509) 593-8113
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-43831 ID
Student in an Organized Health Care Education/Training Program 390200000X
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X CG60744195 WA Primary
Mental Health Counselor 101YM0800X LW61335526 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60850463 WA

Addresses

Primary practice location

9921 N Nevada St Ste 103
Spokane, WA 99218-1145

Mailing address

9921 N Nevada St Ste 103
Spokane, WA 99218-1145
Phone (509) 581-2690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230206000051 WA Practitioner - Clinical Social Worker 8921470774 Reassigns benefits to 1 organization
I20241030002830 WA Practitioner - Mental Health Counselor 8921470774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60744195WAMDCounselor
CO60850463WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Inc CurrentSince Nov 2, 2022 Accepting new patients
Brave Counseling Services Mental Health CurrentSince Aug 18, 2024 Accepting new patients
Passages Family Support a Nonprofit Corporation Past Accepting new patients

Locations

9631 N Nevada St
Ste 311
Spokane, WA 99218
Phone (509) 316-2435

525 W 2nd Ave
Spokane, WA 99201
Phone (509) 624-2378

9921 N Nevada St
Ste 103
Spokane, WA 99218
Phone (509) 581-2690

200 N Mullan Rd
Ste 120
Spokane Valley, WA 99206
Phone (509) 519-6850

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1902344955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 N NEVADA ST STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181145",
            "telephone_number": "509-581-2690",
            "fax_number": "509-593-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 N NEVADA ST STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181145",
            "telephone_number": "509-581-2690",
            "fax_number": "509-593-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BREANNA",
        "middle_name": "LOUISE",
        "credential": "MSW CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-43831",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60744195",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW61335526",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60850463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.