BREANNA DAWN FREEBORN MA, LPCC
NPI 1023533627
Counselor - Professional in Minneapolis, MN

Q: What is Breanna Freeborn's NPI number?

The NPI number for Breanna Freeborn is 1023533627. It was assigned to this individual provider in the NPPES registry on August 4, 2017. The provider is also known as Breanna Larson.

Q: What is Breanna Freeborn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Freeborn was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 04, 2017PECOS Enrolled

3100 W LAKE ST STE 210, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 4, 2017 (3 updates tracked since 2017).

On this page

About Breanna Dawn Freeborn Ma, Lpcc NPPES

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

BREANNA DAWN FREEBORN MA, LPCC (NPI 1023533627) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (1419) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Saint Paul.

NPPES Registry Identity

NPI1023533627

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBREANNA DAWN FREEBORNCredential: MA, LPCC

Location Address3100 W LAKE ST STE 210Minneapolis, MN 55416-4597

Mailing Address3100 W Lake St Ste 210Minneapolis, MN 55416-4597 · (612) 925-6033 · Fax (612) 925-8496

Phone(612) 925-6033

Fax(612) 925-8496

Sole ProprietorNo

Enumeration DateAugust 4, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1023533627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 1419

3100 W LAKE ST STE 210, Minneapolis, MN 55416

Open in Google Maps ↗

Other Names 1

Former Name (1)Breanna Larson

Secondary Practice Location 1

Location 1149 Thompson Ave E Ste 150West Saint Paul, MN 55118-3238 · Phone (651) 450-0860 · Fax (651) 450-0759

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Dawn Freeborn Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Leave this field empty

Other Providers at the Same Location NPPES 13

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

CATHLIN J MAHAL MSW, LICSW

Social Worker (Clinical)