Active NPI
Breakthrough Counseling Services, LLC
- Community/Behavioral Health Agency
- Tampa, FL
National Provider Identifier
1508324781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BREAKTHROUGH COUNSELING SERVICES, LLC
- Practice address
- 3105 W Azeele St
Tampa, FL 33609-3089 - Phone
- (813) 966-1514
- NPI assigned
- Mar 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela Milbry, LMHC
- Title
- Mental Health Therapist
- Phone
- (813) 966-1514
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
3105 W Azeele St
Tampa, FL 33609-3089
Mailing address
3105 W Azeele St
Tampa, FL 33609-3089
Phone (813) 966-1514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012572200 | Medicaid | FL |
Other names 1
- Pamela Milbry
National Provider Directory
National Provider Directory- Tax ID family
- Breakthrough Counseling Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Tampa, FL
- NPI 1821916636
Locations
3105 W Azeele St
Tampa, FL 33609
Phone (813) 327-5485
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Tampa, FL
- NPI 1508273681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551916800000",
"number": "1508324781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 W AZEELE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093089",
"telephone_number": "813-966-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 W AZEELE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093089",
"telephone_number": "813-966-1514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKTHROUGH COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-07",
"status": "A",
"authorized_official_last_name": "MILBRY",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "813-966-1514",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012572200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pamela Milbry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.