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KECHIA BREEDLOVE
NPI 1417494147
Counselor - Professional in Shreveport, LA

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: November 01, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kechia Breedlove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oak Street Health Physicians Group Of Louisiana LLC
271 mi
Primary Care
6521 AIRLINE DR
Metairie, LA 70003
  • Reassigned Medicare billing, Louisiana enrollment
  • 43 clinicians in this Medicare group
NPI 1053917948 (312) 733-9730

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

MS. ALESHA N KINGSBY
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
ELISCHA BROWN FNP
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
DR. PATRICIO DANIEL LUCIO MD
Internal Medicine
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
MRS. TIFFANY ROGERS APRN
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
JOSHUA PHILLIP WHITE FNP-C
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
DR. BYRON ANDRA JACKSON MD
Internal Medicine
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
DR. TRICIA QUINN TEBBOTH M.D.
Family Medicine
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389

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 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.

Where is Kechia Breedlove located?

Kechia Breedlove practices at 653 W 70th St, Shreveport, LA 71106. The listed phone number is (318) 636-8389.

What is Kechia Breedlove's specialty?

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

Is Kechia Breedlove enrolled in Medicare?

Yes. Kechia Breedlove is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kechia Breedlove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kechia Breedlove reassigns Medicare benefits to Oak Street Health Physicians Group Of Louisiana LLC (Metairie, LA). 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 Kechia Breedlove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kechia Breedlove accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, HMO Louisiana and UnitedHealthcare list Kechia Breedlove 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 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 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.