Organization Active NPI

Breakthrough Behavioral Care, LLC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1851058242
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Daniel Robb, LPCNPI 1043465719
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.