KECHIA BREEDLOVE
NPI 1417494147
Counselor - Professional in Shreveport, LA

Q: What is Kechia Breedlove's NPI number?

The NPI number for Kechia Breedlove is 1417494147. It was assigned to this individual provider in the NPPES registry on January 19, 2017.

Q: What is Kechia Breedlove's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kechia Breedlove was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 19, 2017PECOS Enrolled

653 W 70TH ST, SHREVEPORT, LA 71106(318) 636-8389 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, May 27, 2025, May 21, 2018 and 1 more (4 updates tracked since 2017).

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About Kechia Breedlove NPPES

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

KECHIA BREEDLOVE (NPI 1417494147) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (9313) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bossier City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417494147

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKECHIA BREEDLOVE

Location Address653 W 70TH STShreveport, LA 71106-2949

Mailing AddressPo Box 740012Atlanta, GA 30374-0012 · (773) 352-1515

Phone(318) 636-8389

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 19, 2017

Last NPPES UpdateApril 24, 20264 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1417494147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in LA · 9313

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

653 W 70TH ST, Shreveport, LA 71106

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Secondary Practice Location 1

Location 12285 Benton Rd, Suite D-103Bossier City, LA 71111 · Phone (318) 584-7197 · Fax (318) 584-7080

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kechia Breedlove is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800364183

PECOS Enrollment IDI20260505002690

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 6

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

MS. ALESHA N KINGSBY

Nurse Practitioner (Family)