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

Tammy Breault

Individual provider Professional Counselor · NPI 1902207012

Tammy Breault is a Mental Health Counselor in Saint Croix Falls, Wisconsin. Qualified in 2014, 12 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014

Practice location Address checks out

2367 Beede Lake Trl
Saint Croix Falls, WI 54024-7931
Phone: (715) 553-0159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6219-125 (WI)

Record details

NPI number1902207012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2014
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address2367 Beede Lake Trl, Saint Croix Falls, WI 54024-7931

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 Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Croix Falls