NPIMap

Organization Active NPI

Breakthroughs of North Florida LLC

Doing business as Breakthroughs of North Florida

  • Marriage & Family Therapist
  • Yulee, FL
National Provider Identifier
1659895159
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3313 Issued in FL
Legal business name
BREAKTHROUGHS OF NORTH FLORIDA LLC
Doing business as
Breakthroughs of North Florida
Practice address
87003 Professional Way
Yulee, FL 32097-3400
Phone
(904) 849-1190
NPI assigned
Jul 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Marty Rowland Edwards, LMFTNPI 1578099255
Title
Owner
Phone
(904) 849-1190

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MT3313 FL Primary

Addresses

Primary practice location

87003 Professional Way
Yulee, FL 32097-3400

Mailing address

87003 Professional Way
Yulee, FL 32097-3400
Phone (904) 849-1190

Other names 1

  • Breakthroughs of North Florida Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659895159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87003 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-849-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87003 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-849-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGHS OF NORTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "ROWLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-849-1190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakthroughs of North Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.