Organization Active NPI

Daybreak Counseling Center LLC

  • Clinical Social Worker
  • Jensen Beach, FL
National Provider Identifier
1417824079
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DAYBREAK COUNSELING CENTER LLC
Practice address
2301 NE Savannah Rd Unit 41
Jensen Beach, FL 34957-5428
Phone
(828) 999-8102
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Sammy B Glenn, LCSW
Title
Owner
Phone
(828) 999-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2301 NE Savannah Rd Unit 41
Jensen Beach, FL 34957-5428

Mailing address

2301 NE Savannah Rd Unit 41
Jensen Beach, FL 34957-5428

National Provider Directory

National Provider Directory

Locations

2301 NE Savannah Rd
Unit 41
Jensen Beach, FL 34957
Phone (828) 999-8102

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1417824079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NE SAVANNAH RD UNIT 41",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NE SAVANNAH RD UNIT 41",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575428",
            "telephone_number": "828-999-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-999-8102",
        "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": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.