Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanne Ashly Pedersen

Individual provider Mental Health Counselor · NPI 1003433715

Breanne Ashly Pedersen is a Mental Health Counselor in Traverse City, Michigan. Qualified in 2014, 12 years ago. Practices with Adaptive Counseling and Case Management LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

3298 Veterans Dr Ste 1
Traverse City, MI 49684-4725
Phone: (231) 715-8466
Fax: (231) 943-2263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401222799 (MI)

Record details

NPI number1003433715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2020
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Adaptive Counseling And Case Management Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Traverse City