1. Home
  2. Directory
  3. Michigan
  4. Fenton
  5. Counselor
  6. NPI Profile

MRS. BREANNE TERESA PASSALACQUA M.A.,LPC
NPI 1275921629
Counselor - Professional in Fenton, MI

Active since January 07, 2015PECOS Enrolled
10291 FOLEY RD, FENTON, MI 48430(810) 597-7293 Get Directions Write a Review

NPPES record last updated: February 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1275921629
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. BREANNE TERESA PASSALACQUACredential: M.A.,LPC
Location Address10291 FOLEY RDFenton, MI 48430-9250
Mailing Address10291 Foley RdFenton, MI 48430-9250 · (810) 597-7293
Phone(810) 597-7293
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 7, 2015
Last NPPES UpdateFebruary 15, 2026
NPPES CertifiedFebruary 15, 2026
✔ NPI 1275921629 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 MI · 6401225133
10291 FOLEY RD, Fenton, MI 48430
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID8729562673
PECOS Enrollment IDI20260319000901
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.

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.

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 6 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.