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MRS. MARY KATHRYN BRESHEARS M.S., LPC
NPI 1235578451
Counselor - Professional in Marietta, GA

Active since June 20, 2013Opted out of Medicare · through Jan 1, 2028
127 CHURCH ST NE, SUITE 350, MARIETTA, GA 30060(770) 425-8275(770) 425-8276 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Mary Kathryn Breshears M.s., Lpc NPPES

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

MRS. MARY KATHRYN BRESHEARS M.S., LPC (NPI 1235578451) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC007254) and active in the NPI registry since June 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1235578451
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARY KATHRYN BRESHEARSCredential: M.S., LPC
Location Address127 CHURCH ST NE, SUITE 350Marietta, GA 30060-8637
Mailing Address127 Church St Ne, Suite 350Marietta, GA 30060-8637 · (770) 425-8275 · Fax (770) 425-8276
Phone(770) 425-8275
Fax(770) 425-8276
Sole ProprietorYes
Enumeration DateJune 20, 2013
✔ NPI 1235578451 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 GA · LPC007254
127 CHURCH ST NE, Marietta, GA 30060
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Mary Kathryn Breshears M.s., Lpc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

DR. JEFFREY JOHN PIPE PSYD
Psychologist
127 CHURCH ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 425-8275
TAPESTRY PSYCHOLOGICAL ASSOCIATES, INC
Psychologist
127 CHURCH ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 425-8275
MS. BONNIE ANN BASSETT LPC, NCC
Counselor (Professional)
127 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (404) 643-3502
DANETTE R NOLDY M.ED., LPC
Counselor (Professional)
127 CHURCH ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 365-0159
JASON SCOTT PETERS LPC
Counselor (Professional)
127 CHURCH ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 425-8275
PETER K ADZUDZOR MA
Counselor (Professional)
127 CHURCH ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (404) 828-0087
TAPESTRY PSYCHOLOGICAL ASSOCIATES
Community/Behavioral Health
127 CHURCH ST NE, STE 350
MARIETTA, GA 30060
Cobb County (770) 425-8275
MRS. SARAH KATHRYN COLLIER LPC
Counselor
127 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 425-8275

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 Mary Breshears's NPI number?

The NPI number for Mary Breshears is 1235578451. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Mary Breshears located?

Mary Breshears practices at 127 Church St NE Suite 350, Marietta, GA 30060. The listed phone number is (770) 425-8275.

What is Mary Breshears's specialty?

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

Is Mary Breshears enrolled in Medicare?

No. Mary Breshears has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Breshears was last updated on June 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.