MRS. STEPHANIE BREKSTAD (NPI# 1992331474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992331474 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE BREKSTAD |
| Credential | LCMHCA |
| Practice Address |
547 Keisler Dr Ste 202 Cary NC 27518-9309 |
| Mailing Address |
1105 Meridian Market Dr Fuquay Varina NC 27526-5746 |
| Practice Telephone | 9198939444 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A15602 | NC | Behavioral Health & Social Service Providers |
| Street Address |
547 KEISLER DR STE 202 |
| City | CARY |
| State | NC |
| Zip Code | 27518-9309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233532 | Alexis Gunipero Bunt | Social Worker | 547 Keisler Dr Ste 202, Cary, NC 27518-9309 | 2018-04-24 |
| 1710546650 | Holly Noel Jonas | Social Worker | 547 Keisler Dr Ste 202, Cary, NC 27518-9309 | 2019-06-12 |
| 1053881730 | Jeanine Sammons Bandini | Social Worker | 547 Keisler Dr Ste 202, Cary, NC 27518-9309 | 2018-11-26 |
| 1902385396 | Katelyn Jakobsen | Counselor | 547 Keisler Dr Ste 202, Cary, NC 27518-9309 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752401 | Skyla Pryor | Counselor | 217 Union St, Cary, NC 27511-3763 | 2020-08-28 |
| 1710598404 | Alana B Bell | Counselor | 547 Keisler Dr Ste 201, Cary, NC 27518-9309 | 2020-08-14 |
| 1366050056 | Sheri Lee Beck | Counselor | 101 Northington Pl Apt H, Cary, NC 27513-3211 | 2020-07-19 |
| 1053931360 | Elle Brown Counseling & Consulting, Pllc | Counselor | 1144 Executive Cir Ste 224, Cary, NC 27511-4573 | 2020-04-16 |
| 1174181879 | Sharon Wilkening, Pllc | Counselor | 1020 Southhill Dr Ste 355, Cary, NC 27513-8645 | 2019-05-29 |
| 1942864962 | Gaetano Serra | Counselor | 1513 Walnut St Ste 215, Cary, NC 27511-5900 | 2019-04-24 |
| 1568025906 | Megan Hyland Tajlili | Counselor | 523 Keisler Dr Ste 103, Cary, NC 27518-7099 | 2019-04-22 |
| 1477016475 | Whole Life Therapeutics, Pllc | Counselor | 1903 N Harrison Ave Ste 200-40, Cary, NC 27513-3092 | 2019-04-08 |
| 1245799824 | All of You: Mind, Body, Spirit | Counselor | 918 Tanglewood Dr, Cary, NC 27511-4642 | 2019-03-13 |
| 1790257509 | Latisha A Brown | Counselor | 325 Michigan Ave, Cary, NC 27519-0508 | 2018-12-19 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.