BROKEN VESSEL COUNSELING SERVICES, LLC
NPI 1457180432
Social Worker - Clinical in Danvers, MA

Active since July 29, 2024
10 LIBERTY ST, DANVERS, MA 01923(978) 522-0021 Get Directions Write a Review

NPPES record last updated: November 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2024, Jul 29, 2024 (2 updates tracked since 2024).

About Broken Vessel Counseling Services, Llc NPPES

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

BROKEN VESSEL COUNSELING SERVICES, LLC (NPI 1457180432) is a healthcare organization registered as a clinical in Danvers, Massachusetts and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Beverly and lists Barbara Anne Meader, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1457180432
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBROKEN VESSEL COUNSELING SERVICES, LLC
Location Address10 LIBERTY STDanvers, MA 01923-2577
Mailing Address25 Bartlett St Apt 2Beverly, MA 01915-5135 · (781) 715-5965
Organization SubpartNo
Authorized OfficialBarbara Anne MeaderSole Member · (978) 522-0021
Enumeration DateJuly 29, 2024
Last NPPES UpdateNovember 23, 20242 updates tracked since enumeration
NPPES CertifiedNovember 23, 2024
✔ NPI 1457180432 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.
10 LIBERTY ST, Danvers, MA 01923

Secondary Practice Location 1

Location 125 Bartlett St Apt 2Beverly, MA 01915-5135 · Phone (781) 715-5965

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)

Broken Vessel Counseling 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 Broken Vessel Counseling Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1073012373
7 CARLTON ST
Salem, MA 01970
(781) 715-5965
✔ PECOS✔ Accepts Medicare3.6 mi

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 Broken Vessel Counseling Services, LLC's NPI number?

The NPI number for Broken Vessel Counseling Services, LLC is 1457180432. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Broken Vessel Counseling Services, LLC located?

Broken Vessel Counseling Services, LLC is located at 10 Liberty St, Danvers, MA 01923. The listed phone number is (978) 522-0021.

What is Broken Vessel Counseling Services, LLC's specialty?

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

Is Broken Vessel Counseling Services, LLC enrolled in Medicare?

Yes. Broken Vessel Counseling Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broken Vessel Counseling Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Broken Vessel Counseling 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 Broken Vessel Counseling Services, LLC was last updated on November 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.