Breanna Nicole Robertson, MS, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-30986 Issued in NC

Practice address

522 N Main St
Walnut Cove, NC 27052-9247

Phone

(866) 489-2686

NPI assigned

Jan 14, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1992663173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "866-489-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "866-489-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BREANNA",
        "middle_name": "NICOLE",
        "credential": "MS, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-30986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quad County Group Homes for Emotionally Disturbed Children, Inc.
• Reynolds Care Support, LLC
• James Doyle Richardson, RPH, BS
• Ridge Care Management, Inc.
• Amanda Lin Robertson
• Sandra Mitchell Robertson, PTA
• Olivia Caroline Roten, DMD
• RSS/Walnut Cove Operations, LLC
• Reinatou Sadou, LCMHCA
• Grant Shaffer

• Addiction (Substance Use Disorder) Counselor in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.