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BREANNE ASHLY PEDERSEN
NPI 1003433715
Counselor - Mental Health in Traverse City, MI

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment
3298 VETERANS DR STE 1, TRAVERSE CITY, MI 49684(231) 715-8466(231) 943-2263 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Jun 24, 2025, Jun 29, 2020 (3 updates tracked since 2020).

About Breanne Ashly Pedersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNE ASHLY PEDERSEN (NPI 1003433715) is an individual mental health provider in Traverse City, Michigan, licensed in Michigan (6401222799) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003433715
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBREANNE ASHLY PEDERSEN
Location Address3298 VETERANS DR STE 1Traverse City, MI 49684-4725
Mailing Address3298 Veterans Dr Ste 1Traverse City, MI 49684-4725 · (231) 715-8466 · Fax (231) 943-2263
Phone(231) 715-8466
Fax(231) 943-2263
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 29, 2020
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1003433715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401222799
3298 VETERANS DR STE 1, Traverse City, MI 49684
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breanne Ashly Pedersen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991238438
PECOS Enrollment IDI20241023001022
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES SCHNEIDER LLMSW
Social Worker
3298 VETERANS DR STE 1
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466
ADAPTIVE COUNSELING AND CASE MANAGEMENT, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3298 VETERANS DR STE 1
TRAVERSE CITY, MI 49684
Grand Traverse County (317) 158-4662
BRANDY BRAY LLMSW
Social Worker
3298 VETERANS DR STE 1
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanne Pedersen's NPI number?

The NPI number for Breanne Pedersen is 1003433715. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Breanne Pedersen located?

Breanne Pedersen practices at 3298 Veterans Dr Ste 1, Traverse City, MI 49684. The listed phone number is (231) 715-8466.

What is Breanne Pedersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Breanne Pedersen enrolled in Medicare?

Yes. Breanne Pedersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Breanne Pedersen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Breanne Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breanne Pedersen was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.