NPIMap

Organization Active NPI

Breakthrough Communication and Wellness, LLC

  • Speech-Language Pathologist
  • Springfield, VA
National Provider Identifier
1982193116
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202008863 Issued in VA
Legal business name
BREAKTHROUGH COMMUNICATION AND WELLNESS, LLC
Practice address
8308 Timber Brook LN
Springfield, VA 22153-2254
Phone
(330) 679-8779
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Stephanie Keenan, MA, CCC-SLPNPI 1699282574
Title
Speech-Language Pathologist
Phone
(330) 679-8779

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
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 2202008863 VA Primary

Addresses

Primary practice location

8308 Timber Brook LN
Springfield, VA 22153-2254

Mailing address

8308 Timber Brook LN
Springfield, VA 22153-2254
Phone (330) 679-8779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1982193116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 TIMBER BROOK LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532254",
            "telephone_number": "330-679-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 TIMBER BROOK LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532254",
            "telephone_number": "330-679-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH COMMUNICATION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "330-679-8779",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.