Healthcare Provider Details

I. General information

NPI: 1467607242
Provider Name (Legal Business Name): ANITA MARIE BREUER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANITA MARIE MADAKASIRA

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8931 HURON ST
THORNTON CO
80260-6806
US

IV. Provider business mailing address

621 W LAKE ST STE 350
MINNEAPOLIS MN
55408-2952
US

V. Phone/Fax

Practice location:
  • Phone: 303-853-3500
  • Fax:
Mailing address:
  • Phone: 612-979-2276
  • Fax: 651-925-0427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2504014
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5706
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0014271
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: