Breakthrough Mental Health Services LLC

Key facts

NPI: 1609435015
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
Legal business name: BREAKTHROUGH MENTAL HEALTH SERVICES LLC
Practice address: 203 E Main St
West Plains, MO 65775-3524
Phone: (417) 505-9843
NPI assigned: Jun 10, 2019
Organization subpart: No

Authorized official

Name: Megan York, LCSW
Title: Mental Health Therapist
Phone: (417) 778-5033

National Provider Directory

Locations

203 E Main St
West Plains, MO 65775
Phone (417) 505-9843

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker Group: 193400000X SINGLE SPECIALTY GROUP	1041C0700X			Yes

Addresses

Primary practice location

203 E Main St
West Plains, MO 65775-3524

Mailing address

PO Box 334
West Plains, MO 65775-0334
Phone (417) 778-5033

Other identifiers

Identifier	Type	State	Issuer
2006018050	Medicaid	MO
612447	Other	MO	BLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2019.

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1609435015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750334",
            "telephone_number": "417-778-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753524",
            "telephone_number": "417-505-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "417-778-5033",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006018050",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "612447",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

All providers in West Plains, MO · Clinical Social Worker in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.