Breakwater Counseling, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Gloucester, Massachusetts
1902499155- Practice location
- 2 Main St Fl 3, Gloucester, MA 01930-5726
- Phone
- 508-284-2121
- Fax
- —
- Last updated
- February 18, 2021
Breakwater Counseling, LLC is a healthcare organization based in Gloucester, MA. Breakwater Counseling, LLC practices in Gloucester, MA. The NPI Number for Breakwater Counseling, LLC is 1902499155. The current practice location address for Breakwater Counseling, LLC is 2 Main St Fl 3, Gloucester, MA 01930-5726 and can be reached out via phone at 508-284-2121.
Provider Profile Details
- NPI Number
- 1902499155
- Provider Name
- Breakwater Counseling, LLC
- Provider Entity Type
- Organization
- Address
- 2 Main St Fl 3, Gloucester, MA 01930-5726
- Phone Number
- 508-284-2121
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Ms. Kristina Michelle Simon, LICSW · Mental Health Clinician · 508-284-2121
- Provider Enumeration Date
- February 18, 2021
- Last Update Date
- February 18, 2021
- Certification Date
- February 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Main St Fl 3
Gloucester, MA 01930-5726 - City
- Gloucester
- State
- Massachusetts
- Zip
- 01930-5726
- Phone Number
- 508-284-2121
Provider Business Mailing Address Details
- Address
- 30 Marble St
Gloucester, MA 01930-4281 - City
- Gloucester
- State
- MA
- Zip
- 01930-4281
- Phone Number
- 508-284-2121
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers near Gloucester, MA
View all Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Gloucester →- Safe Harbor Behavioral HealthClinic/Center, Mental Health (Including Community Mental Health Center) · NPI 1124991500
- Walgreen Eastern Co INCPharmacy · NPI 1083629281
- Meghan T UgoneNurse Practitioner, Family · NPI 1639944093
- Jennifer PerkinsCounselor, Mental Health · NPI 1750289989
- Ms. Sophia A Perry, FNP-CNurse Practitioner, Family · NPI 1679252498
- Allan E Sanabria MarciaDentist, General Practice · NPI 1376440735
Frequently Asked Questions
What is the NPI number of Breakwater Counseling, LLC?
The NPI number of Breakwater Counseling, LLC is 1902499155. It was assigned on February 18, 2021 and is currently active in the NPPES registry.
What is the specialty of Breakwater Counseling, LLC?
Breakwater Counseling, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Breakwater Counseling, LLC practice?
The practice location is 2 Main St Fl 3, Gloucester, MA 01930-5726. The office can be reached at 508-284-2121 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902499155 directly on the NPPES registry website.