Organization Active NPI

Breakthrough Counseling, Coaching and Consulting LLC

  • Community/Behavioral Health Agency
  • Augusta, GA
National Provider Identifier
1013482769
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Oct 9, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.