Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breeyn Nicole Maxwell, MA, LPC, CAADC

Individual provider Mental Health Counselor · NPI 1558747055

Breeyn Nicole Maxwell, MA, LPC, CAADC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1971 E Beltline Ave NE Ste 106
Grand Rapids, MI 49525-7045
Phone: (616) 666-6904
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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 6301015970 (MI)

Record details

NPI number1558747055
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , CAADC
Sole proprietorNo
NPI enumeratedAugust 6, 2015
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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