BREEYN NICOLE MAXWELL MA, LPC, CAADC
NPI 1558747055
Counselor - Mental Health in Grand Rapids, MI

Active since August 06, 2015PECOS EnrolledAccepts Medicare Assignment
1971 E BELTLINE AVE NE STE 106, GRAND RAPIDS, MI 49525(616) 666-6904 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Breeyn Nicole Maxwell Ma, Lpc, Caadc NPPES

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

BREEYN NICOLE MAXWELL MA, LPC, CAADC (NPI 1558747055) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6301015970) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558747055
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBREEYN NICOLE MAXWELLCredential: MA, LPC, CAADC
Location Address1971 E BELTLINE AVE NE STE 106Grand Rapids, MI 49525-7045
Mailing Address1538 Tamarack Ave NwGrand Rapids, MI 49504-3041 · (810) 334-0506
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 6, 2015
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1558747055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6301015970
1971 E BELTLINE AVE NE STE 106, Grand Rapids, MI 49525

Accepted Insurance

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

Breeyn Nicole Maxwell Ma, Lpc, Caadc 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 ID4587003702
PECOS Enrollment IDI20240419001903
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 2

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

Counselor (Professional)
1971 E BELTLINE AVE NE STE 106
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
1971 E BELTLINE AVE NE STE 106
GRAND RAPIDS, MI 49525

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 Breeyn Maxwell's NPI number?

The NPI number for Breeyn Maxwell is 1558747055. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Where is Breeyn Maxwell located?

Breeyn Maxwell practices at 1971 E Beltline Ave NE Ste 106, Grand Rapids, MI 49525. The listed phone number is (616) 666-6904.

What is Breeyn Maxwell's specialty?

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

Is Breeyn Maxwell enrolled in Medicare?

Yes. Breeyn Maxwell 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.

What insurance does Breeyn Maxwell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Breeyn Maxwell 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 Breeyn Maxwell was last updated on March 19, 2024. 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.