MEDICARE: NICHOLAS BREUER PSYCHOTHERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1437012283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICHOLAS BREUER PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	225 E 11TH ST STE 215
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-6482
Country	:	US
Telephone Number	:	605-800-3860
Fax Number	:	605-800-3852

Provider Business Practice Location Address
First Line	:	225 E 11TH ST STE 215
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-6482
Country	:	US
Telephone Number	:	605-800-3860
Fax Number	:	605-800-3852

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. NICHOLAS THOMAS BREUER
Credential	:	MA, NCC, LPC-MH
Telephone Number	:	605-941-3645

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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