Active NPI
Breakthrough Counseling Education Center
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1992057558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7613
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 767736700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.