ANGELA C. BREAZEALE LPC
NPI 1821821786
Counselor - Professional in Johns Creek, GA
About Angela C. Breazeale Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA C. BREAZEALE LPC (NPI 1821821786) is an individual professional provider in Johns Creek, Georgia, licensed in Georgia (003422) and active in the NPI registry since August 2024. She has opted out of Medicare through August 26, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Angela C. Breazeale Lpc 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 August 26, 2024 through August 26, 2026.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNS CREEK, GA 30097
DULUTH, GA 30097
JOHNS CREEK, GA 30097
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 Angela Breazeale's NPI number?
The NPI number for Angela Breazeale is 1821821786. It was assigned to this individual provider in the NPPES registry on August 24, 2024.
Where is Angela Breazeale located?
Angela Breazeale practices at 10475 Medlock Bridge Rd Ste 205, Johns Creek, GA 30097. The listed phone number is (678) 474-4899.
What is Angela Breazeale's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Angela Breazeale enrolled in Medicare?
No. Angela Breazeale has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Angela Breazeale was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Angela C. Breazeale, LPC · NPI 1821821786
Professional provider in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since August 24, 2024.
## Identity
- **NPI:** 1821821786 (Entity type: Individual)
- **Enumerated:** August 24, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 003422 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 10475 MEDLOCK BRIDGE RD STE 205, Johns Creek, GA 30097-4446
- **Phone:** (678) 474-4899
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 26, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** August 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1821821786) · Data from the CMS NPPES public registry.