BREAKTHROUGH COUNSELING AND ASSESSMENT SERVICES, LLC
NPI 1265382113
Psychologist - Clinical in Conway, AR

Q: What is Breakthrough Counseling And Assessment Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 30, 2026

1023 MAIN ST STE 201A, CONWAY, AR 72032(501) 339-4315 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Breakthrough Counseling And Assessment Services, Llc NPPES

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

BREAKTHROUGH COUNSELING AND ASSESSMENT SERVICES, LLC (NPI 1265382113) is a healthcare organization registered as a clinical in Conway, Arkansas and active in the NPI registry since January 2026. The organization lists Sherese Hicks, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1265382113

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBREAKTHROUGH COUNSELING AND ASSESSMENT SERVICES, LLC

Location Address1023 MAIN ST STE 201AConway, AR 72032-5412

Mailing Address1023 Main St Ste 201aConway, AR 72032-5412 · (501) 339-4315

Phone(501) 339-4315

Organization SubpartNo

Authorized OfficialSherese HicksPsychologist · (501) 339-4315

Enumeration DateJanuary 30, 2026

NPPES CertifiedJanuary 30, 2026

✔ NPI 1265382113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1023 MAIN ST STE 201A, Conway, AR 72032

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breakthrough Counseling And Assessment Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Breakthrough Counseling And Assessment Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sherese Hicks, PHD

Clinical Psychologist

NPI 1700032810

1023 MAIN ST STE 201A
Conway, AR 72032

(501) 339-4315

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Breakthrough Counseling And Assessment Services, LLC's NPI number?

The NPI number for Breakthrough Counseling And Assessment Services, LLC is 1265382113. It was assigned to this organization in the NPPES registry on January 30, 2026.

Where is Breakthrough Counseling And Assessment Services, LLC located?

Breakthrough Counseling And Assessment Services, LLC is located at 1023 Main St Ste 201A, Conway, AR 72032. The listed phone number is (501) 339-4315.

What is Breakthrough Counseling And Assessment Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Breakthrough Counseling And Assessment Services, LLC enrolled in Medicare?

Yes. Breakthrough Counseling And Assessment Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Breakthrough Counseling And Assessment Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Breakthrough Counseling And Assessment Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Breakthrough Counseling And Assessment Services, LLC was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.