Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
BREAKWATER COUNSELING CENTER, LLC
Active
Organization
BREAKWATER COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MARTIN LPC (OWNER/COUNSELOR)
(203) 693-1169
Entity
Organization
Contact information
Practice address
1110 BROADBRIDGE AVE, STRATFORD, CT 06615-5801
(203) 693-1169
Mailing address
1110 BROADBRIDGE AVE, STRATFORD, CT 06615-5801
(203) 693-1169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003183
STATE OF CT DPH
CT
01
—
CBHP009329
BEACON HEALTH
CT
Enumeration date
03/22/2018
Last updated
07/24/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up