Breanna Rose Pennypacker
Counselor, Addiction (Substance Use Disorder) in Burton, OH. Individual provider (NPI-1).
Details
- NPI
- 1497526792
- Entity type
- Individual (NPI-1)
- Name
- Ms. Breanna Rose Pennypacker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2024
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.175932 | OH | Yes |
| 101YP2500X | Counselor, Professional | C.2406080 | OH |
Practice location
14707 S Cheshire StBurton, OH 44021-9601
Phone 440-887-1100 · Fax 440-887-1103
Mailing address
11176 Claridon Troy RdChardon, OH 44024-9469
Other practice locations
Parma, OH 44129-5650
Phone 440-887-1100 · Fax 440-887-1100
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Burton, OH
- Kathleen Marie BrownNPI 1164268603
- Melinda R McDanielNPI 1811596349
- David Pines, LCDCIIINPI 1679958102
- Amy C Shook, LCDC IIINPI 1972162014
All 5 Addiction (Substance Use Disorder) Counselor providers in Burton · All 64 providers in Burton
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