Breana Ridges, LCMHC, NCC, CFMHE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16352 Issued in NC

Practice address

1330 SE Maynard Rd Ste 104
Cary, NC 27511-3628

Phone

(910) 556-9075

Fax

(919) 367-1921

NPI assigned

Feb 15, 2021

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

Other names 1

• Breana Williams Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wakemed

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1194907717
  Medicare reassignment NPD
• Essential Grace Counseling, PLLC

  • Mental Health Counselor
  • Cary, NC
  • NPI 1346947082
  NPD
• Wakemed

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  NPD

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1962095539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2382",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273312382",
            "telephone_number": "910-556-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SE MAYNARD RD STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113628",
            "telephone_number": "910-556-9075",
            "fax_number": "919-367-1921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGES",
        "first_name": "BREANA",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, NCC, CFMHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANA",
            "last_name": "WILLIAMS",
            "credential": "LCMHC, NCC, CFMHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daryl Ricketts
• Kayla B Ricks
• Ride Choice, LLC
• Kristin Rider, PA-C
• Morgan Ridgell
• Jamie Riedell, AU.D.
• Courtney Rigans
• Jere Riggsbee
• Right Choice Home Care & Staffing
• Kellie C Rigsbee

• Mental Health Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.