Icebreaker Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ICEBREAKER THERAPY PLLC

Practice address

407 Auburn Pines Dr
Montgomery, TX 77316-1955

Phone

(989) 955-2026

NPI assigned

Jul 28, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Carmen R Merrill, LCSWNPI 1700674504

Title

Psychotherapist

Phone

(989) 955-2026

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carmen R Merrill, LCSW

  • Clinical Social Worker
  • Montgomery, TX
  • NPI 1700674504
  NPD (past) Authorized official

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1174445506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "989-955-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AUBURN PINES DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773161955",
            "telephone_number": "989-955-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICEBREAKER THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "989-955-2026",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

• Christine Howard, RN, IBCLC
• Jennifer Huber, PT
• Emmett Sterling Huff III, D.O.
• Courtney Human-Gonzalez, M.ED., BCBA
• Aleena Hussain
• Chinonyerem Igboagi, PHARMD
• Zoe L Ingalls, LCSW
• Integrated Medical Care PLLC
• Itrust Home Care
• James Patrick Oneal MD PA

• Clinical Social Worker in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.