BREANNA MARTINE JEFFRIES MA, MHP, RC
NPI 1922155183
Counselor - Professional in Bellevue, WA
About Breanna Martine Jeffries Ma, Mhp, Rc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA MARTINE JEFFRIES MA, MHP, RC (NPI 1922155183) is an individual professional provider in Bellevue, Washington, licensed in Washington (RC00039108) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.
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
Breanna Martine Jeffries Ma, Mhp, Rc 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 January 1, 2024 through January 1, 2028.
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.
BELLEVUE, WA 98007
BELLEVUE, WA 98007
BELLEVUE, WA 98007
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 Jeffries's NPI number?
The NPI number for Breanna Jeffries is 1922155183. It was assigned to this individual provider in the NPPES registry on January 3, 2007.
Where is Breanna Jeffries located?
Breanna Jeffries practices at 14270 NE 21st St, Bellevue, WA 98007. The listed phone number is (452) 653-5006.
What is Breanna Jeffries's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Breanna Jeffries enrolled in Medicare?
No. Breanna Jeffries has opted out of Medicare through January 1, 2028. 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 Breanna Jeffries was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 Martine Jeffries, MA, MHP, RC · NPI 1922155183
Professional provider in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1922155183 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** RC00039108 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14270 NE 21ST ST, Bellevue, WA 98007-3720
- **Phone:** (452) 653-5006 · **Fax:** (425) 653-5010
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 16, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1922155183) · Data from the CMS NPPES public registry.