BREANNA DESANDRO LPCC
NPI 1669048617
Counselor - Mental Health in Sylvania, OH
About Breanna Desandro Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA DESANDRO LPCC (NPI 1669048617) is an individual mental health provider in Sylvania, Ohio, licensed in Ohio (E.2102630) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Breanna Desandro Lpcc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Breanna Desandro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sylvania, OH 43560
- Reassigned Medicare billing, Ohio enrollment
- 13 clinicians in this Medicare group
Sylvania, OH 43560
- Reassigned Medicare billing, Ohio enrollment
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYLVANIA, OH 43560
SYLVANIA, OH 43560
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 Breanna Desandro's NPI number?
The NPI number for Breanna Desandro is 1669048617. It was assigned to this individual provider in the NPPES registry on June 1, 2021.
Where is Breanna Desandro located?
Breanna Desandro practices at 5800 Monroe St, Sylvania, OH 43560. The listed phone number is (419) 343-7737.
What is Breanna Desandro's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Breanna Desandro enrolled in Medicare?
Yes. Breanna Desandro 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 organizations bill Medicare for Breanna Desandro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Desandro reassigns Medicare benefits to 2 organizations: Amy Koziarski Lisw LLC (Sylvania, OH) and Breanna Desandro Lpcc LLC (Sylvania, OH). Each 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 Breanna Desandro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breanna Desandro accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 3 other insurers list Breanna Desandro 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 Breanna Desandro was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Breanna Desandro, LPCC · NPI 1669048617
Mental Health provider in Sylvania, Ohio. Individual provider, active in the CMS NPPES registry since June 1, 2021.
## Identity
- **NPI:** 1669048617 (Entity type: Individual)
- **Enumerated:** June 1, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** E.2102630 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5800 MONROE ST, Sylvania, OH 43560-2263
- **Phone:** (419) 343-7737
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Amy Koziarski Lisw LLC (NPI 1255656773, Sylvania, OH); Breanna Desandro Lpcc LLC (NPI 1851106702, Sylvania, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669048617) · Data from the CMS NPPES public registry.