Active NPI
Breakthrough Counseling, Coaching and Consulting LLC
- Community/Behavioral Health Agency
- Augusta, GA
National Provider Identifier
1013482769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BREAKTHROUGH COUNSELING, COACHING AND CONSULTING LLC
- Practice address
- 2903 Galahad Way
Augusta, GA 30909-9147 - Phone
- (404) 496-4614
- Fax
- (866) 923-0754
- NPI assigned
- Oct 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanna Amanda Jefferson, MSW, LCSW, LISW-CP/S
- Title
- Director of Clinical Operations
- Phone
- (803) 743-2753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2903 Galahad Way
Augusta, GA 30909-9147
Mailing address
PO Box 29144
Atlanta, GA 30359-0144
Other practice location 1
310 Edgefield Ave
Aiken, SC 29801-4422
Phone (803) 743-2757
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539043200000",
"number": "1013482769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29144",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303590144",
"fax_number": "866-923-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 GALAHAD WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309099147",
"telephone_number": "404-496-4614",
"fax_number": "866-923-0754"
}
],
"practiceLocations": [
{
"address_1": "310 Edgefield Ave",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298014422",
"country_code": "US",
"telephone_number": "803-743-2757",
"fax_number": "866-923-0754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BREAKTHROUGH COUNSELING, COACHING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A",
"authorized_official_last_name": "JEFFERSON",
"authorized_official_first_name": "SHANNA",
"authorized_official_middle_name": "AMANDA",
"authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
"authorized_official_telephone_number": "803-743-2753",
"authorized_official_credential": "MSW, LCSW, LISW-CP/S"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.