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Kellie Rose Breen

Counselor β€’ Fullerton, CA

Active NPI 1992521181 Individual Practitioner Female Practitioner
Practice location in NPPES

680 Langsdorf Dr Ste 200
Fullerton, CA 928313702

Call 7178719264 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

680 Langsdorf Dr Ste 200

Fullerton, CA 928313702

Telephone 7178719264

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fullerton and California

17 active clinicians are listed under Counselor with a practice address in Fullerton, CA (13,736 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fullerton

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES CA 21862

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 28, 2026

Registered at 680 LANGSDORF DR STE 200, FULLERTON, CA 928313702 (Tel: 7178719264)

πŸ“
Updated Business Mailing Address April 28, 2026

Registered at 680 LANGSDORF DR STE 200, FULLERTON, CA 928313702 (Tel: 7148719264)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2026

Counselor (license number reported to NPPES: CA 21862)

πŸ“
Updated Practice Location March 26, 2026

Registered at 30451 AVENIDA DE LAS FLORES UNIT B, RANCHO SANTA MARGARITA, CA 926883953 (Tel: 9492057245)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2026

Counselor (license number reported to NPPES: CA 21862)

βœ…
NPI Profile Active December 03, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 03, 2024

Registered at 680 LANGSDORF DR STE 200, FULLERTON, CA 928313702 (Tel: 7148719264)

πŸ“
Business Mailing Address (Initial Record) December 03, 2024

Registered at 6242 WARNER AVE APT 4H, HUNTINGTON BEACH, CA 926475190 (Tel: 7143168706)

πŸ‘€
Provider Name / Credentials (Initial Record) December 03, 2024

Recorded as KELLIE BREEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 03, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992521181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2024
Last Update: April 28, 2026
Sole Proprietor: Yes

Mailing Address

680 Langsdorf Dr Ste 200

Fullerton, CA 928313702

Phone: 7148719264

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.