P Praxis·MD
● Active Type 1 · Individual

Shante Breitenbach

Counselor·Rincon, GA· NPI 1114409711 · Enumerated 2018 · 7 years on NPI
Breitenbach is 1 of 32 counselor providers in Rincon and 1 of 7547 in Georgia.
NPI age
7 years
Enumerated 2018-08-30
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
131 Silverwood Commercial Dr Ste 500
Rincon, GA 313265331
📞 9122444600
Mailing address
Po Box 6
Rincon, GA 313260006
📞 9107285602

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC010454 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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