1. Home
  2. Directory
  3. Rhode Island
  4. Pascoag
  5. Clinic Center
  6. NPI Profile

BREAKWATER COUNSELING, LLC
NPI 1871360388
Clinic/Center - Adult Mental Health in Pascoag, RI

Active since December 05, 2023
2090 WALLUM LAKE RD, PASCOAG, RI 02859(401) 426-2954 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breakwater Counseling, Llc NPPES

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

BREAKWATER COUNSELING, LLC (NPI 1871360388) is a healthcare organization registered as an adult mental health in Pascoag, Rhode Island and active in the NPI registry since December 2023. The organization lists Tiffany Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1871360388
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBREAKWATER COUNSELING, LLC
Location Address2090 WALLUM LAKE RDPascoag, RI 02859-1813
Mailing AddressPo Box 154Cumberland, RI 02864-0154 · (401) 426-2954
Phone(401) 426-2954
Organization SubpartNo
Authorized OfficialTiffany MartinOwner · (401) 338-2741
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1871360388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2090 WALLUM LAKE RD, Pascoag, RI 02859
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

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

PATRICIA MARIA RUSSO-MAGNO MD
Internal Medicine (Critical Care Medicine)
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 567-5400
MARK DENNIS V GERONIMO MD
Family Medicine
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 567-5400
DR. MICHELE MARIE PAQUET MD
Internal Medicine
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 567-5400
ADELE JANIK
Social Worker (Clinical)
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 567-5460
MRS. LYNNE CIANCIO PT
Physical Therapist
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 567-5492
OLIN NICHOLAS PERKINS PA-C
Physician Assistant
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 567-5400
TIFFANY L MARTIN LICSW
Social Worker (Clinical)
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 338-2741
MS. JUDITH PELOQUIN OTRL
Occupational Therapist
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Providence County (401) 567-4572

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, LLC's NPI number?

The NPI number for Breakwater Counseling, LLC is 1871360388. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is Breakwater Counseling, LLC located?

Breakwater Counseling, LLC is located at 2090 Wallum Lake Rd, Pascoag, RI 02859. The listed phone number is (401) 426-2954.

What is Breakwater Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Breakwater Counseling, LLC was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.