Steven Eldor Breitbarth, M. DIV. - LMFT
Individual provider Active NPI Marriage & Family Therapist · Hibbing, MN
NPI 1962860965 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1962860965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0262 (MN)
- Practice address
- 3605 Mayfair Ave
Hibbing, MN 55746-2935 - Phone
- (218) 262-3441
- NPI assigned
- Feb 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240226000230 | MN | Practitioner - Marriage and Family Therapist | 3678918059 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0262 | MN | MD | Marriage & Family Therapist |
| 262 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Range Regional Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients |
Locations
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
8496 Enterprise Dr S
Mountain Iron, MN 55768
Phone (217) 741-2250
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0262 | MN | Yes |
Addresses
Primary practice location
3605 Mayfair Ave
Hibbing, MN 55746-2935
Mailing address
3605 Mayfair Ave
Hibbing, MN 55746-2935
Phone (218) 262-3441
Other providers in Hibbing, MN
- Michael Boerner
- William John Bonach
- Darra Bonham
- Bosh Inc
- Allison Margaret Bottoms
- Brenda Gargano
- Lori Broich
- Kasey Brown
- Elizabeth Marie Brownlee
- Megan Suzanne Brunner
All providers in Hibbing, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.