Individual provider Active NPI

Breana Martin, LMFT

  • Marriage & Family Therapist
  • McKinney, TX
National Provider Identifier
1962048082
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
163961 Issued in CA
Practice address
3924 Bernese Dr
McKinney, TX 75071-6690
Phone
(530) 616-1036
NPI assigned
Nov 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 163961 CA Primary

Addresses

Primary practice location

3924 Bernese Dr
McKinney, TX 75071-6690

Mailing address

3924 Bernese Dr
McKinney, TX 75071-6690
Phone (619) 386-6220

Other practice location 1

415 Knollcrest Dr
Redding, CA 96002-0129
Phone (530) 392-4399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135633CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Specialists Inc PastSince Jan 1, 2023 Accepting new patients
Episcopal Community Services PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1962048082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 BERNESE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716690",
            "telephone_number": "619-386-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 BERNESE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716690",
            "telephone_number": "530-616-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Knollcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960020129",
            "country_code": "US",
            "telephone_number": "530-392-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BREANA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "163961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.