Cloud Break Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CLOUD BREAK THERAPY, LLC

Practice address

101 S Whiting St Ste 318
Alexandria, VA 22304-3416

Phone

(703) 855-4330

NPI assigned

May 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brooke Buck, LPCNPI 1295073161

Title

Owner/Psychotherapist

Phone

(703) 855-4330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Mobley Buck, MA, LPC

  • Counselor
  • Alexandria, VA
  • NPI 1295073161
  NPD Authorized official
• Sarah Marie Connelly, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1720668981
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1013574177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST STE 204",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043416",
            "telephone_number": "703-855-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST STE 318",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043416",
            "telephone_number": "703-855-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD BREAK THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "703-855-4330",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI NUMBER",
            "identifier": "1710448725",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI NUMBER",
            "identifier": "1295073161",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monica J. Clothiaux, M.S.P.T.
• Catherine C. Cloud, LCSW
• Hannah Clough, CNM
• CN Internal Medicine MD PC
• Olivia Maria Co
• Karen Coad

• Mental Health Clinic/Center (Including Community Mental Health Center) in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.