Organization Active NPI

Breakthru Counseling LLC

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1285035675
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017025 Issued in PA
Legal business name
BREAKTHRU COUNSELING LLC
Practice address
3005 Brodhead Rd
Suite185
Bethlehem, PA 18020-9201
Phone
(484) 809-0454
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Amelia Renshaw, LCSW
Title
Clinical Social Worker
Phone
(484) 809-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW017025 PA Primary

Addresses

Primary practice location

3005 Brodhead Rd
Suite185
Bethlehem, PA 18020-9201

Mailing address

3005 Brodhead Rd
Suite185
Bethlehem, PA 18020-9201
Phone (484) 809-0454

National Provider Directory

National Provider Directory

Locations

3005 Brodhead Rd
Ste 185
Bethlehem, PA 18020
Phone (610) 737-6740

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1285035675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 BRODHEAD RD",
            "address_2": "SUITE185",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209201",
            "telephone_number": "484-809-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BRODHEAD RD",
            "address_2": "SUITE185",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209201",
            "telephone_number": "484-809-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHRU COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "RENSHAW",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "484-809-0454",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.