REBECCA RAE BREITRICK LPC NPI 1477069458

NPI Information

NPI: 1477069458
Provider Name: REBECCA RAE BREITRICK, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12630 W NORTH AVE BLDG E
BROOKFIELD, WI
ZIP 53005
Phone: (262) 785-1008
Get Directions

Rebecca Rae Breitrick, LPC is a professional counselor in Brookfield, WI. Rebecca Rae Breitrick, LPC NPI is 1477069458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12630 W NORTH AVE BLDG E
BROOKFIELD, WI
ZIP 53005-626
Phone: (262) 785-1008
Fax: (262) 646-6284

The enumeration date for this NPI number is 12/28/2017 and was last updated on 11/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2393	WISCONSIN	No
2	101YP2500X	Counselor	Professional	6889	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1477069458	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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