PATRICIA BRESHEARS – Mental Health Counselor, NPI 1215330766

PATRICIA BRESHEARS is a healthcare provider. based in Alton, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180.004916 (IL). The NPI Number for PATRICIA BRESHEARS is 1215330766

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA BRESHEARS
NPI
1215330766
Phone
(618) 462-2331
Address
2615 EDWARDS ST
Enumeration Date
29 September 2014
Last Update Date
7 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184660295
Graduation Year
1999 (27 years ago)
PAC ID
0547608044
Group Practice PAC ID
6800103466
Professional Enrollment ID
I20240403001226
Address ID
IL620025904AL108XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for PATRICIA BRESHEARS

  • 2615 EDWARDS ST

    ALTON, IL 620023915

    Phone: (618) 462-2331

    Fax: (618) 462-2504

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240403001226IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800103466View full group profile
NameSpecialtyState
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for PATRICIA BRESHEARS?
PATRICIA BRESHEARS — NPI 1215330766 — is the standard way to identify this listing.
Does CMS list PATRICIA BRESHEARS as active?
Yes — PATRICIA BRESHEARS is active in the NPI listing used on this page.
What is PATRICIA BRESHEARS best known for clinically?
Directory data describes PATRICIA BRESHEARS with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect PATRICIA BRESHEARS on a map?
Expect Alton, Illinois as a primary anchor for PATRICIA BRESHEARS unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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