Organization Active NPI

Breakthrough Community Services LLC

  • Adult Mental Health Clinic/Center
  • Salem, OR
National Provider Identifier
1821707860
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BREAKTHROUGH COMMUNITY SERVICES LLC
Practice address
1990 Spicetree LN SE
Salem, OR 97306-3406
Phone
(503) 881-6034
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Colisha Jane Vanpelt
Title
DSP
Phone
(503) 881-6034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1990 Spicetree LN SE
Salem, OR 97306-3406

Mailing address

1990 Spicetree LN SE
Salem, OR 97306-3406
Phone (503) 881-6034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1821707860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 SPICETREE LN SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063406",
            "telephone_number": "503-881-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 SPICETREE LN SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063406",
            "telephone_number": "503-881-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "VANPELT",
        "authorized_official_first_name": "COLISHA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "DSP",
        "authorized_official_telephone_number": "503-881-6034"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.