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AMANDA BREEDLOVE LMFT
NPI 1316487119
Marriage & Family Therapist in San Diego, CA

Active since February 28, 2017PECOS EnrolledAccepts Medicare Assignment
1666 PRECISION PARK LN, SAN DIEGO, CA 92173(619) 662-4100(619) 600-4870 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Sep 24, 2019, Sep 13, 2019 and 1 more (4 updates tracked since 2017).

About Amanda Breedlove Lmft NPPES

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

AMANDA BREEDLOVE LMFT (NPI 1316487119) is an individual marriage & family therapist in San Diego, California, licensed in California (139230) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316487119
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMANDA BREEDLOVECredential: LMFT
Location Address1666 PRECISION PARK LNSan Diego, CA 92173-1346
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Phone(619) 662-4100
Fax(619) 600-4870
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 28, 2017
Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1316487119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 139230✔ Licensed in KY · 259918
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1666 PRECISION PARK LN, San Diego, CA 92173
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Other Identifiers 1

Medicaid7100625550KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Breedlove Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123470978
PECOS Enrollment IDI20240117004374
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.

Other Providers at the Same Location NPPES 20

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Adolescent and Children Mental Health)
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 428-1330
MS. GRACIELA CASTELLANOS MA IN MFT
Counselor
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MICHELLE STEPHANIE LOUGH
Family Medicine
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MARGARITA CASTELLANOS PALAZUELOS
Social Worker (Clinical)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 428-5533
RITO A LOPEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
THANOS GEORGE ROSSOPOULOS MD
Psychiatry & Neurology (Psychiatry)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
IRAIDA REYNOSO
Marriage & Family Therapist
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 662-4100

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 Amanda Breedlove's NPI number?

The NPI number for Amanda Breedlove is 1316487119. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Amanda Breedlove located?

Amanda Breedlove practices at 1666 Precision Park Ln, San Diego, CA 92173. The listed phone number is (619) 662-4100.

What is Amanda Breedlove's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Amanda Breedlove enrolled in Medicare?

Yes. Amanda Breedlove is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Breedlove was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.