BREANNA NICHOLE CORBITT (NPI# 1679182844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679182844 |
| Entity Type | Individual |
| Full Name | BREANNA NICHOLE CORBITT |
| Practice Address |
1709 Moon St Ne Albuquerque NM 87112-3935 |
| Practice Telephone | 5052710329 |
| Mailing Telephone | 5052710329 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1709 MOON ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902865165 | Shawn Proudfoot | Social Worker | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2006-03-17 |
| 1285234724 | Gina Marie Storch | Social Worker | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-10-26 |
| 1306453808 | Clarissa J Gallegos | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-09-28 |
| 1043820970 | Delette Lyn Ford | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-08-05 |
| 1811505290 | Tanya Jean Marthaller-duran | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-07-21 |
| 1861010605 | Lorah Elizabeth Plante | Social Worker | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-07-08 |
| 1629692819 | Tarra Kae-abeyta Toledo | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-06-03 |
| 1962035980 | Daniel C Chavez | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-02-18 |
| 1649800756 | Maria Del Carmen Morales | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2020-01-17 |
| 1245877869 | Dannis Marquez Garcia | Counselor | 1709 Moon St Ne, Albuquerque, NM 87112-3935 | 2019-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1073172854 | Katherine Bassiri, LLC. | Counselor | 5300 Sequoia Rd Nw Ste 207, Albuquerque, NM 87120-1248 | 2019-06-06 |
| 1922576149 | Jacqueline Castille | Counselor | 4004 Carlisle Blvd Ne Ste C-3, Albuquerque, NM 87107-4565 | 2018-11-06 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1801395389 | Emily J Cano | Counselor | 2601 Wyoming Blvd Ne Ste 101, Albuquerque, NM 87112-1000 | 2018-02-09 |
| 1124533153 | Joy E Davis | Counselor | 8403 Constitution Ave Ne # 87110, Albuquerque, NM 87110-7614 | 2017-12-13 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1205369089 | Jonathan Juerling | Counselor | 5204 Vicksburg Dr Nw, Albuquerque, NM 87120-4501 | 2017-04-07 |
| 1467902098 | Jeffrey Holland | Counselor | 5421 Summer Ave Ne, Albuquerque, NM 87110-6435 | 2016-10-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.