Divine Breakthrough Ministries Worldwide (the Breakthrough Center)

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

DIVINE BREAKTHROUGH MINISTRIES WORLDWIDE (THE BREAKTHROUGH CENTER)

Practice address

9143 Hwy 178
Olive Branch, MS 38654-3865

Phone

(901) 850-4469

Fax

(248) 282-9802

NPI assigned

May 8, 2020

Organization subpart

Yes

Parent organization

DIVINE BREAKTHROUGH MINISTRIES WORLDWIDE, INCAs reported in NPPES

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

Authorized official

Name

Dr. Joseph Rondell Everson, PSYD, PHD, DEM

Title

Director/Pastoral Counselor/Midwife

Phone

(901) 850-4469

Specialties & licenses 2

Addresses

Part of

Divine Breakthrough Ministries Worldwide the Breakthrough Center

Locations

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1861014276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 SPEERBERRY CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162399",
            "telephone_number": "253-282-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9143 HWY 178",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543865",
            "telephone_number": "901-850-4469",
            "fax_number": "248-282-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE BREAKTHROUGH MINISTRIES WORLDWIDE (THE BREAKTHROUGH CENTER)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE BREAKTHROUGH MINISTRIES WORLDWIDE, INC",
        "enumeration_date": "2020-05-08",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RONDELL",
        "authorized_official_title_or_position": "DIRECTOR/PASTORAL COUNSELOR/MIDWIFE",
        "authorized_official_telephone_number": "901-850-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, PHD, DEM"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.