Breakthrough Counseling Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BREAKTHROUGH COUNSELING SERVICES, LLC

Practice address

4014J Mountville Rd Unit a
Jefferson, MD 21755-7713

Phone

(240) 215-6434

NPI assigned

Feb 28, 2018

Organization subpart

No

Name

Melissa Anglin

Title

Owner

Phone

(770) 778-8999

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

• William Garrett Ransom, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jefferson, MD
  • NPI 1790498251

  MD, PA

  Medicare reassignment NPD
• Melissa Ann Clawson, LPC

  • Mental Health Counselor
  • Kennesaw, GA
  • NPI 1710123716

  MD, PA

  Medicare reassignment NPD (past)

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

Enrollment records 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2018.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1477055044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13247 JOHN MARTIN DR",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217951623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014J MOUNTVILLE RD UNIT A",
            "city": "JEFFERSON",
            "state": "MD",
            "postal_code": "217557713",
            "telephone_number": "240-215-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-778-8999"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Bailey
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• Patricia Ann Cash, PHARM. D.
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• Tera Beth German, LCSW-C
• Jefferson Family Dentistry, Inc.

• All providers in Jefferson, MD
• Adolescent and Children Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.