SHANNON BREITKREUTZ L.P.
NPI 1538404736
Psychologist in Monticello, MN

Active since November 29, 2012Opted out of Medicare · through Feb 9, 2028
107 CEDAR ST, SUITE 7, MONTICELLO, MN 55362(763) 732-3351 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Shannon Breitkreutz L.p. NPPES

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

SHANNON BREITKREUTZ L.P. (NPI 1538404736) is an individual psychologist in Monticello, Minnesota, licensed in Minnesota (LP3496) and active in the NPI registry since November 2012. She has opted out of Medicare through February 9, 2028.

NPPES Registry Identity

NPI1538404736
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHANNON BREITKREUTZCredential: L.P.
Location Address107 CEDAR ST, SUITE 7Monticello, MN 55362-4504
Mailing Address21530 201st St NwBig Lake, MN 55309-8118 · (763) 772-5382
Sole ProprietorYes
Enumeration DateNovember 29, 2012
NPI 1538404736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3496
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
107 CEDAR ST, Monticello, MN 55362

Other Names 1

Former Name (1)Shannon Roman L.p.

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

Shannon Breitkreutz L.p. 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 9, 2024 through February 9, 2028.

Opt-Out Effective DateFebruary 9, 2024
Opt-Out In Effect ThroughFebruary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Shannon Breitkreutz's NPI number?

The NPI number for Shannon Breitkreutz is 1538404736. It was assigned to this individual provider in the NPPES registry on November 29, 2012. The provider is also known as Shannon Roman L.P..

Where is Shannon Breitkreutz located?

Shannon Breitkreutz practices at 107 Cedar St Suite 7, Monticello, MN 55362. The listed phone number is (763) 732-3351.

What is Shannon Breitkreutz's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shannon Breitkreutz enrolled in Medicare?

No. Shannon Breitkreutz has opted out of Medicare through February 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shannon Breitkreutz accept?

Health plans from HealthPartners list Shannon Breitkreutz 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 Shannon Breitkreutz was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.