NPIMap

Organization Active NPI

Breakthrough Psychological Services, LLC

  • Professional Counselor
  • Aberdeen, SD
National Provider Identifier
1356737613
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCMH2258 Issued in SD
Legal business name
BREAKTHROUGH PSYCHOLOGICAL SERVICES, LLC
Practice address
404 S Lincoln St Ste L1
Aberdeen, SD 57401-4373
Phone
(605) 725-5505
Fax
(605) 725-5508
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Ms. Cynthia Ann Goehring, LPC-MHNPI 1740521178
Title
Owner/Clinical Therapist
Phone
(605) 725-5505

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPCMH2258 SD Primary

Addresses

Primary practice location

404 S Lincoln St Ste L1
Aberdeen, SD 57401-4373

Mailing address

404 S Lincoln St Ste L1
Aberdeen, SD 57401-4373
Phone (605) 725-5505

National Provider Directory

National Provider Directory

Locations

221 S Co Road 19
Aberdeen, SD 57401
Phone (605) 725-5505

Practitioners & affiliated clinicians

Practitioners 3

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1356737613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S LINCOLN ST STE L1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014373",
            "telephone_number": "605-725-5505",
            "fax_number": "605-725-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S LINCOLN ST STE L1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014373",
            "telephone_number": "605-725-5505",
            "fax_number": "605-725-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "GOEHRING",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "605-725-5505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-MH"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPCMH2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.