Active NPI
Breakthrough Behavioral Care, LLC
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1851058242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BREAKTHROUGH BEHAVIORAL CARE, LLC
- Practice address
- 3115 Elm St
Saint Charles, MO 63301-4651 - Phone
- (636) 219-7524
- Fax
- (877) 526-8367
- NPI assigned
- Nov 21, 2021
- Last updated
- Dec 2, 2021
- 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
- Daniel Robb, LPC
- Title
- Owner/Manager/Practitioner
- Phone
- (636) 219-7524
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
3115 Elm St
Saint Charles, MO 63301-4651
Mailing address
416 Concordia LN
Saint Charles, MO 63301-4608
Phone (636) 219-7524
National Provider Directory
National Provider DirectoryLocations
3115 Elm St
Saint Charles, MO 63301
Phone (636) 219-7524
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Troy, MO
- NPI 1043465719
-
- Professional Counselor
- Ellisville, MO
- NPI 1861647539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638403200000",
"number": "1851058242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 CONCORDIA LN",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633014608",
"telephone_number": "636-219-7524",
"fax_number": "877-526-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 ELM ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633014651",
"telephone_number": "636-219-7524",
"fax_number": "877-526-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKTHROUGH BEHAVIORAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-21",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A",
"authorized_official_last_name": "ROBB",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER/MANAGER/PRACTITIONER",
"authorized_official_telephone_number": "636-219-7524",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.