Organization Active NPI

Breathe Therapy LLC

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1083397962
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BREATHE THERAPY LLC
Practice address
2311 Shelby Ave Apt 106-D
Ann Arbor, MI 48103-3849
Phone
(269) 930-4112
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Stephanie StarksNPI 1780237834
Title
Licensed Masters in Social Work
Phone
(269) 930-4112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2311 Shelby Ave Apt 106-D
Ann Arbor, MI 48103-3849

Mailing address

2311 Shelby Ave Apt 106-D
Ann Arbor, MI 48103-3849
Phone (269) 930-4112

National Provider Directory

National Provider Directory

Locations

2311 Shelby Ave
Apt 106D
Ann Arbor, MI 48103
Phone (269) 930-4112

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1083397962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE APT 106-D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "269-930-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE APT 106-D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "269-930-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "LICENSED MASTERS IN SOCIAL WORK",
        "authorized_official_telephone_number": "269-930-4112"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.