Organization Active NPI

Breakthrough Counseling Education Center

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1992057558
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7613 Issued in FL
Legal business name
BREAKTHROUGH COUNSELING EDUCATION CENTER
Practice address
1950 Lee Road
Suite 114
Winter Park, FL 32789-7210
Phone
(407) 926-0319
Fax
(407) 926-0294
NPI assigned
Oct 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Sheila Davis, ED. D, LMHC, NCC
Title
President/Owner
Phone
(407) 926-0319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH7613 FL Primary

Addresses

Primary practice location

1950 Lee Road
Suite 114
Winter Park, FL 32789-7210

Mailing address

1950 Lee Road
Suite 114
Winter Park, FL 32789-7210
Phone (407) 926-0319

Other identifiers 1

IdentifierTypeStateIssuer
767736700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1950 Lee Rd
Ste 114
Winter Park, FL 32789
Phone (407) 574-1729

NPI Registry JSON

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

{
    "created_epoch": "1349568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1992057558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LEE ROAD",
            "address_2": "SUITE 114",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897210",
            "telephone_number": "407-926-0319",
            "fax_number": "407-926-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LEE ROAD",
            "address_2": "SUITE 114",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897210",
            "telephone_number": "407-926-0319",
            "fax_number": "407-926-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH COUNSELING EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-07",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-926-0319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED. D, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767736700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.