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BREAKWATER COUNSELING CENTER, LLC
NPI 1821592072
Counselor - Professional in Stratford, CT

Active since March 22, 2018
1110 BROADBRIDGE AVE, STRATFORD, CT 06615(203) 693-1169 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2019, Mar 22, 2018 (2 updates tracked since 2018).

About Breakwater Counseling Center, Llc NPPES

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

BREAKWATER COUNSELING CENTER, LLC (NPI 1821592072) is a healthcare organization registered as a professional in Stratford, Connecticut and active in the NPI registry since March 2018. The organization lists Joanne Martin, Owner/counselor, as its authorized official.

NPPES Registry Identity

NPI1821592072
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBREAKWATER COUNSELING CENTER, LLC
Location Address1110 BROADBRIDGE AVEStratford, CT 06615-5801
Mailing Address1110 Broadbridge AveStratford, CT 06615-5801 · (203) 693-1169
Phone(203) 693-1169
Organization SubpartNo
Authorized OfficialJoanne MartinOwner/counselor · (203) 693-1169
Enumeration DateMarch 22, 2018
Last NPPES UpdateJuly 24, 20192 updates tracked since enumeration
✔ NPI 1821592072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1110 BROADBRIDGE AVE, Stratford, CT 06615
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Other Identifiers 2

OtherCBHP009329CT · Beacon Health
Other003183CT · State Of Ct Dph

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

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 Breakwater Counseling Center, LLC's NPI number?

The NPI number for Breakwater Counseling Center, LLC is 1821592072. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is Breakwater Counseling Center, LLC located?

Breakwater Counseling Center, LLC is located at 1110 Broadbridge Ave, Stratford, CT 06615. The listed phone number is (203) 693-1169.

What is Breakwater Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Breakwater Counseling Center, LLC was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.