Breakthrough Counseling KC, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BREAKTHROUGH COUNSELING KC, LLC

Practice address

4801 S Cliff Ave Ste 214a
Independence, MO 64055-7015

Phone

(816) 875-6868

Fax

(816) 875-4199

NPI assigned

Nov 23, 2021

Last updated

Apr 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie Styles, LCSWNPI 1497220842

Title

Owner

Phone

(816) 309-6449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie S. Styles

  • Social Worker
  • Independence, MO
  • NPI 1497220842
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1073270120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1577",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640550577",
            "telephone_number": "816-875-6868",
            "fax_number": "816-875-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 214A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557015",
            "telephone_number": "816-875-6868",
            "fax_number": "816-875-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH COUNSELING KC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "STYLES",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-309-6449",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierney Nichole Brailsford
• Mary M Brant, FPMHNP
• Bray Shepherd Eye Care PC (Independence Family Eye Care)
• Judy Bray
• Marcia Bray, O.D.
• Lydia Breckenridge
• Amy B Brener, LCSW
• Darian Michelle Brewen-Barnett, PTA
• Brian a Fidler (Epic Counseling Group)
• Corrine Bricher, PA

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.