BREAKWATER COUNSELING, LLC
NPI 1902499155
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gloucester, MA

Active since February 18, 2021
2 MAIN ST FL 3, GLOUCESTER, MA 01930(508) 284-2121 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breakwater Counseling, Llc NPPES

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

BREAKWATER COUNSELING, LLC (NPI 1902499155) is a healthcare organization registered as a mental health (including community mental health center) in Gloucester, Massachusetts and active in the NPI registry since February 2021. The organization lists Kristina Michelle Simon, Mental Health Clinician, as its authorized official.

NPPES Registry Identity

NPI1902499155
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBREAKWATER COUNSELING, LLC
Location Address2 MAIN ST FL 3Gloucester, MA 01930-5726
Mailing Address30 Marble StGloucester, MA 01930-4281 · (508) 284-2121
Organization SubpartNo
Authorized OfficialKristina Michelle SimonMental Health Clinician · (508) 284-2121
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1902499155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
2 MAIN ST FL 3, Gloucester, MA 01930

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Social Worker
2 MAIN ST FL 3
GLOUCESTER, MA 01930
Social Worker (Clinical)
2 MAIN ST FL 3
GLOUCESTER, MA 01930
Social Worker (Clinical)
2 MAIN ST FL 3
GLOUCESTER, MA 01930

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 1902499155. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Breakwater Counseling, LLC located?

Breakwater Counseling, LLC is located at 2 Main St Fl 3, Gloucester, MA 01930. The listed phone number is (508) 284-2121.

What is Breakwater Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Breakwater Counseling, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Breakwater Counseling, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breakwater Counseling, LLC was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.