Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Breanne Teresa Passalacqua, MA, LPC

Individual provider Professional Counselor · NPI 1275921629

Mrs. Breanne Teresa Passalacqua, MA, LPC is a Mental Health Counselor in Fenton, Michigan. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
13
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

10291 Foley Rd
Fenton, MI 48430-9250
Phone: (810) 597-7293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401225133 (MI)

Record details

NPI number1275921629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedJanuary 7, 2015
Last updated in NPPESFebruary 15, 2026
Certification dateFebruary 15, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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