Breezeway Counseling, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BREEZEWAY COUNSELING, PLLC

Practice address

371 N Front St Ste D
Wilmington, NC 28401-3908

Phone

(910) 880-4813

NPI assigned

Nov 8, 2023

Last updated

Nov 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Carmel Carpenter, LCMHCNPI 1053785915

Title

Owner/Counselor

Phone

(910) 880-4813

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kimberly Carpenter, LPC

  • Mental Health Counselor
  • Calabash, NC
  • NPI 1053785915
  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1861266033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OHANA DR NW",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624222",
            "telephone_number": "910-880-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N FRONT ST STE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013908",
            "telephone_number": "910-880-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZEWAY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CARMEL",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "910-880-4813",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin James Bray, M.D.
• Rachel Bray
• Breakthrough Autism Solutions, PLLC (Breakthrough Autism)
• Breakwater Therapy, PLLC
• Daniel John Breault, M.D.
• Alessandra Breggia
• Lauren Breitfeller
• Courtney Nicole Bremer
• Kevin J Brennan, MD
• David Lawrence Brenner, RPA-C, MS

• Adult Mental Health Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.