Active NPI
Shelby Breberg, BSW
- Addiction (Substance Use Disorder) Counselor
- Cedar Rapids, IA
National Provider Identifier
1982224648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4050 Bowling St SW
Cedar Rapids, IA 52404-5005 - Phone
- (319) 862-1050
- NPI assigned
- Apr 23, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4050 Bowling St SW
Cedar Rapids, IA 52404-5005
Mailing address
3330 Emerson Ave NE
Cedar Rapids, IA 52411-6517
Phone (319) 537-0223
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbreberg@asac.us | Health Information Exchange (HIE) | Area Substance Abuse Council |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Linn | Past | Accepting new patients | |
| County of Linn | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Linn County Public Health
- Public Health or Welfare Agency
- Cedar Rapids, IA
- NPI 1104991314
-
dba Linn County Public Health
- Public Health or Welfare Agency
- Cedar Rapids, IA
- NPI 1588738116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1982224648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 EMERSON AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524116517",
"telephone_number": "319-537-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 BOWLING ST SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524045005",
"telephone_number": "319-862-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREBERG",
"first_name": "SHELBY",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2023-11-27",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbreberg@asac.us",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "Area Substance Abuse Council",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4050 Bowling St SW",
"city": "Cedar Rapids",
"state": "IA",
"country_code": "US",
"postal_code": "524045005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.