DUSTIN BREITWIESER M.A.
NPI 1366596595
Counselor - Mental Health in Dallas, OR

Active since January 23, 2007Opted out of Medicare · through Feb 5, 2027
182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin Breitwieser M.a. NPPES

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

DUSTIN BREITWIESER M.A. (NPI 1366596595) is an individual mental health provider in Dallas, Oregon and active in the NPI registry since January 2007. He has opted out of Medicare through February 5, 2027.

NPPES Registry Identity

NPI1366596595
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDUSTIN BREITWIESERCredential: M.A.
Location Address182 SW ACADEMY STDallas, OR 97338-1922
Mailing Address1355 Centennial Dr SeSalem, OR 97302-1718
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
NPI 1366596595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
182 SW ACADEMY ST, Dallas, OR 97338

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

Dustin Breitwieser M.a. 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 5, 2025 through February 5, 2027.

Opt-Out Effective DateFebruary 5, 2025
Opt-Out In Effect ThroughFebruary 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338

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 Dustin Breitwieser's NPI number?

The NPI number for Dustin Breitwieser is 1366596595. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Dustin Breitwieser located?

Dustin Breitwieser practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Dustin Breitwieser's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dustin Breitwieser enrolled in Medicare?

No. Dustin Breitwieser has opted out of Medicare through February 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Dustin Breitwieser accept?

Health plans from PacificSource Health Plans list Dustin Breitwieser 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 Dustin Breitwieser was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.