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JADIRA ELOISE BREAULT LPC
NPI 1679179576
Counselor - Professional in North Franklin, CT

Active since December 07, 2020PECOS Enrolled
72 ROUTE 32, NORTH FRANKLIN, CT 06254(860) 822-6009 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Feb 5, 2026, Dec 7, 2020 (3 updates tracked since 2020).

About Jadira Eloise Breault Lpc NPPES

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

JADIRA ELOISE BREAULT LPC (NPI 1679179576) is an individual professional provider in North Franklin, Connecticut, licensed in Connecticut (9572) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Willimantic, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679179576
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJADIRA ELOISE BREAULTCredential: LPC
Location Address72 ROUTE 32North Franklin, CT 06254-1837
Mailing Address72 Route 32North Franklin, CT 06254-1837
Phone(860) 822-6009
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 7, 2020
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1679179576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 9572
72 ROUTE 32, North Franklin, CT 06254
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Secondary Practice Location 1

Location 1289 Windham RdWillimantic, CT 06226-3528 · Phone (860) 465-2650

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jadira Eloise Breault Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214407105
PECOS Enrollment IDI20260601003691
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 6

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

MS. ABIGAIL ELIZABETH THURLOW LPC
Counselor (Professional)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Southeastern Connecticut Planning Region (860) 822-6009
MRS. HOLLY ELIZABETH DREGER LCSW
Social Worker (Clinical)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Southeastern Connecticut Planning Region (860) 514-6104
JENNIFER CLARK LCSW
Social Worker (Clinical)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Southeastern Connecticut Planning Region (860) 917-0790
TAMORA VOID MS
Counselor (Addiction (Substance Use Disorder))
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Southeastern Connecticut Planning Region (860) 822-6009
JULIE WOJNAR LMFT
Counselor (Mental Health)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Southeastern Connecticut Planning Region (860) 415-9718
FRANKLIN PROFESSIONAL COUNSELING CENTER LLC
Counselor (Professional)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Southeastern Connecticut Planning Region (860) 822-6009

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 Jadira Breault's NPI number?

The NPI number for Jadira Breault is 1679179576. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Jadira Breault located?

Jadira Breault practices at 72 Route 32, North Franklin, CT 06254. The listed phone number is (860) 822-6009.

What is Jadira Breault's specialty?

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

Is Jadira Breault enrolled in Medicare?

Yes. Jadira Breault is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jadira Breault was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.