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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ICEBREAKER THERAPY PLLC
NPI 1174445506
Social Worker - Clinical in Montgomery, TX

Active since July 28, 2026
407 AUBURN PINES DR, MONTGOMERY, TX 77316(989) 955-2026 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Icebreaker Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICEBREAKER THERAPY PLLC (NPI 1174445506) is a healthcare organization registered as a clinical in Montgomery, Texas and active in the NPI registry since July 2026. The organization lists Carmen R Merrill, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1174445506
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameICEBREAKER THERAPY PLLC
Location Address407 AUBURN PINES DRMontgomery, TX 77316-1955
Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298 · (989) 955-2026
Phone(989) 955-2026
Organization SubpartNo
Authorized OfficialCarmen R MerrillPsychotherapist · (989) 955-2026
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1174445506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
407 AUBURN PINES DR, Montgomery, TX 77316
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN R MERRILL LCSW
Social Worker (Clinical)
407 AUBURN PINES DR
MONTGOMERY, TX 77316
Montgomery County (210) 374-4924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icebreaker Therapy PLLC's NPI number?

The NPI number for Icebreaker Therapy PLLC is 1174445506. It was assigned to this organization in the NPPES registry on July 28, 2026.

Where is Icebreaker Therapy PLLC located?

Icebreaker Therapy PLLC is located at 407 Auburn Pines Dr, Montgomery, TX 77316. The listed phone number is (989) 955-2026.

What is Icebreaker Therapy PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Icebreaker Therapy PLLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.