Pivotal Breakthrough Counseling Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PIVOTAL BREAKTHROUGH COUNSELING SERVICES, PLLC

Practice address

604 E Front St # 1555
Clayton, NC 27520-2058

Phone

(919) 418-1613

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanice Stephenson, LCMHCA, LCASA, NCC

Title

Mental Health/Substance Use Counsel

Phone

(919) 418-1613

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1447867999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1555",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275281555",
            "telephone_number": "919-418-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E FRONT ST # 1555",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202058",
            "telephone_number": "919-418-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL BREAKTHROUGH COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "SHANICE",
        "authorized_official_title_or_position": "MENTAL HEALTH/SUBSTANCE USE COUNSEL",
        "authorized_official_telephone_number": "919-418-1613",
        "authorized_official_credential": "LCMHCA, LCASA, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Village Treatment Services Inc
• Pine Village Treatment Services, Inc.
• Pinnacle Health Services of North Carolina, LLC (Cardinal Points Imaging of the Carolinas, Clayton)
• Amber Morgan Pinsky, MS, OTR/L
• Kathryn Piper, LCSWA
• Jennifer Platt, SLP
• Danielle Pleasant-King
• Lauren Ashley Plowman, MS, CCC-SLP
• Alina Dora Poczobutt, NP
• Matthew Allan Popa, MD

• Professional Counselor in Clayton, NC
• Providers in Clayton, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.