SHANTE BREITENBACH
NPI 1114409711
Counselor - Professional in Rincon, GA
About Shante Breitenbach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTE BREITENBACH (NPI 1114409711) is an individual professional provider in Rincon, Georgia, licensed in Georgia (LPC010454) and active in the NPI registry since August 2018. She has opted out of Medicare through February 21, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Shante Breitenbach has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2024 through February 21, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RINCON, GA 31326
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 Shante Breitenbach's NPI number?
The NPI number for Shante Breitenbach is 1114409711. It was assigned to this individual provider in the NPPES registry on August 30, 2018.
Where is Shante Breitenbach located?
Shante Breitenbach practices at 131 Silverwood Commercial Dr Ste 500, Rincon, GA 31326. The listed phone number is (912) 244-4600.
What is Shante Breitenbach's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shante Breitenbach enrolled in Medicare?
No. Shante Breitenbach has opted out of Medicare through February 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Shante Breitenbach accept?
Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Shante Breitenbach 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 Shante Breitenbach was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Shante Breitenbach · NPI 1114409711
Professional provider in Rincon, Georgia. Individual provider, active in the CMS NPPES registry since August 30, 2018.
## Identity
- **NPI:** 1114409711 (Entity type: Individual)
- **Enumerated:** August 30, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC010454 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 131 SILVERWOOD COMMERCIAL DR STE 500, Rincon, GA 31326-5331
- **Phone:** (912) 244-4600
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 21, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114409711) · Data from the CMS NPPES public registry.