Individual provider Active NPI

Breeann Merrill, LCPC-C

  • Mental Health Counselor
  • Sabattus, ME
National Provider Identifier
1952014532
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL6992 Issued in ME
Practice address
33 Springer Farm Rd
Sabattus, ME 04280-4747
Phone
(207) 402-7991
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL6992 ME Primary

Addresses

Primary practice location

33 Springer Farm Rd
Sabattus, ME 04280-4747

Mailing address

33 Springer Farm Rd
Sabattus, ME 04280-4747
Phone (207) 402-7991

Other names 1

  • Breeann Sautter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250228001458 ME Practitioner - Mental Health Counselor 4284154659 Practice locations: Sabattus, ME; Lisbon Falls, ME; Durham, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL6992MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Farwell Associates PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1952014532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SPRINGER FARM RD",
            "city": "SABATTUS",
            "state": "ME",
            "postal_code": "042804747",
            "telephone_number": "207-402-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SPRINGER FARM RD",
            "city": "SABATTUS",
            "state": "ME",
            "postal_code": "042804747",
            "telephone_number": "207-402-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "BREEANN",
        "credential": "LCPC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL6992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREEANN",
            "last_name": "SAUTTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sabattus, ME

Sources for this page

Verify at the official NPI Registry.