MR. JOHN BREAZEAL M.S.
NPI 1629132717
Marriage & Family Therapist in Riverside, CA

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
9990 COUNTY FARM RD # 6, RIVERSIDE, CA 92503(951) 358-7380 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. John Breazeal M.s. NPPES

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

MR. JOHN BREAZEAL M.S. (NPI 1629132717) is an individual marriage & family therapist in Riverside, California, licensed in California (42975) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629132717
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JOHN BREAZEALCredential: M.S.
Location Address9990 COUNTY FARM RD # 6Riverside, CA 92503-3542
Mailing Address28399 Champions DrMenifee, CA 92584-8831 · (951) 623-4059
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629132717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 42975
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
9990 COUNTY FARM RD # 6, Riverside, CA 92503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. John Breazeal M.s. 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 ID8224572268
PECOS Enrollment IDI20240701002474
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 John Breazeal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, California enrollment
  • 97 clinicians in this Medicare group

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

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 John Breazeal's NPI number?

The NPI number for John Breazeal is 1629132717. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is John Breazeal located?

John Breazeal practices at 9990 County Farm Rd # 6, Riverside, CA 92503. The listed phone number is (951) 358-7380.

What is John Breazeal's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is John Breazeal enrolled in Medicare?

Yes. John Breazeal 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.

Which organization bills Medicare for John Breazeal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Breazeal reassigns Medicare benefits to Talkspace Provider Network Ca PC (New York, NY). 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 John Breazeal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Breazeal accept?

Health plans from Blue Cross and Blue Shield of Texas list John Breazeal 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 John Breazeal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.