Breakthrough Therapeutic Supportive Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BREAKTHROUGH THERAPEUTIC SUPPORTIVE SERVICES LLC

Practice address

4400 Portsmouth Blvd Ste B
Portsmouth, VA 23701-2542

Phone

(757) 956-6840

Fax

(855) 423-7971

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Dorla JohnsonNPI 1457918427

Title

Chief Executive Officer

Phone

(757) 353-2631

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Dorla Johnson, CEO

  • Mental Health Counselor
  • Portsmouth, VA
  • NPI 1457918427
  NPD Authorized official

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1831756790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9641",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233219641",
            "telephone_number": "757-609-8344",
            "fax_number": "855-423-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 PORTSMOUTH BLVD STE B",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012542",
            "telephone_number": "757-956-6840",
            "fax_number": "855-423-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH THERAPEUTIC SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DORLA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-353-2631",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Bray, PHARMD
• Janice Renee Bray, M.D.
• Karen Reynolds Brayboy, MSN, CNM
• Dinita Brazell
• Bre'S Beautique RX
• Breakthrough Transportation Services LLC
• Erin Breckenridge
• Megan Ann Brelsford, D.O.
• Brendon E. Prestwich, PLLC
• Alana Marie Breneman

• Community/Behavioral Health Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.