BREANNA CHRISTINE JONES LPC
NPI 1912567868
Counselor - Professional in Grand Rapids, MI

Q: What is Breanna Jones's NPI number?

The NPI number for Breanna Jones is 1912567868. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Q: What is Breanna Jones's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Breanna Jones was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 13, 2019PECOS Enrolled

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Mar 6, 2024, May 5, 2020 and 1 more (4 updates tracked since 2019).

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About Breanna Christine Jones Lpc NPPES

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

BREANNA CHRISTINE JONES LPC (NPI 1912567868) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401019860) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1912567868

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBREANNA CHRISTINE JONESCredential: LPC

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830

Phone(616) 336-3909

Fax(616) 336-8830

Sole ProprietorNo

Enumeration DateJune 13, 2019

Last NPPES UpdateNovember 4, 20254 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1912567868 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 MI · 6401019860

790 FULLER AVE NE, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 13950 Sparks Dr SE Ste 103Grand Rapids, MI 49546-6159 · Phone (517) 882-3732 · Fax (517) 882-3633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Christine Jones Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)