MRS. BREANNE TERESA PASSALACQUA M.A.,LPC
NPI 1275921629
Counselor - Professional in Fenton, MI
About Mrs. Breanne Teresa Passalacqua M.a.,lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BREANNE TERESA PASSALACQUA M.A.,LPC (NPI 1275921629) is an individual professional provider in Fenton, Michigan, licensed in Michigan (6401225133) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Breanne Teresa Passalacqua M.a.,lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Breanne Passalacqua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Michigan enrollment
- 411 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Passalacqua's NPI number?
The NPI number for Breanne Passalacqua is 1275921629. It was assigned to this individual provider in the NPPES registry on January 7, 2015.
Where is Breanne Passalacqua located?
Breanne Passalacqua practices at 10291 Foley Rd, Fenton, MI 48430. The listed phone number is (810) 597-7293.
What is Breanne Passalacqua's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Breanne Passalacqua enrolled in Medicare?
Yes. Breanne Passalacqua is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Breanne Passalacqua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanne Passalacqua reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breanne Passalacqua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breanne Passalacqua accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Breanne Passalacqua 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 Passalacqua was last updated on February 15, 2026. 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.
# Mrs. Breanne Teresa Passalacqua, M.A.,LPC · NPI 1275921629
Professional provider in Fenton, Michigan. Individual provider, active in the CMS NPPES registry since January 7, 2015.
## Identity
- **NPI:** 1275921629 (Entity type: Individual)
- **Enumerated:** January 7, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401225133 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10291 FOLEY RD, Fenton, MI 48430-9250
- **Phone:** (810) 597-7293
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275921629) · Data from the CMS NPPES public registry.