BREAKING FREE INC (NPI# 1164065637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164065637 |
Entity Type | Organization |
Organization Name | BREAKING FREE INC |
Practice Address |
659 S River St Aurora IL 60506-5551 |
Mailing Address |
120 Gale St Aurora IL 60506-5084 |
Practice Telephone | 6308971003 |
Mailing Telephone | 6308971003 |
Mailing Fax Number | 6308971042 |
Enumeration Date | 2019-10-28 |
Last Update Date | 2019-10-28 |
Authorized Official Name | HERBERT LEON STRICKLIN (DIRECTOR OF CLINICAL OPERATIONS) |
Authorized Official Telephone | 6308971003 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316580897 | Breaking Free Inc | Community/Behavioral Health | 1329 N Lake St, Aurora, IL 60506-2409 | 2019-10-28 |
1649703018 | Breaking Free Inc | Clinic/Center | 120 Gale St, Aurora, IL 60506-5084 | 2017-04-04 |
Street Address |
659 S RIVER ST |
City | AURORA |
State | IL |
Zip Code | 60506-5551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
Find all providers in zip 60506 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649887035 | Neuropsychological Assessments of Colorado, Professional LLC | Community/Behavioral Health | 7105 S Titus St, Aurora, CO 80016-7560 | 2020-09-29 |
1457913501 | Tcs Group Global, LLC | Community/Behavioral Health | 745 Lake Trl, Aurora, OH 44202-8478 | 2019-06-28 |
1942706379 | Family Service Association of Greater Elgin Area | Community/Behavioral Health | 30 S Stolp Ave Ste 310, Aurora, IL 60506-6103 | 2018-04-04 |
1457866915 | Michael Dawson | Community/Behavioral Health | 2851 S Parker Rd Ste 436, Aurora, CO 80014-2802 | 2017-12-06 |
1093239550 | Ramstad Counseling, LLC | Community/Behavioral Health | 6105 S Main St Ste 213, Aurora, CO 80016-5361 | 2017-07-26 |
1366962383 | Strength Based Interventions LLC | Community/Behavioral Health | 3976 S Atchison Way, Aurora, CO 80014-4117 | 2017-06-21 |
1275070518 | Continuum of Colorado | Community/Behavioral Health | 3251 Revere St Ste 230, Aurora, CO 80011-1852 | 2017-01-25 |
1558728022 | Centrepoint Support Living, LLC | Community/Behavioral Health | 21755 E Smoky Hill Rd, Aurora, CO 80015-6752 | 2016-01-28 |
1578920997 | Beyond Classroom Walls | Community/Behavioral Health | 2600 S Parker Rd Ste 336, Aurora, CO 80014-1613 | 2016-01-16 |
1093170508 | Hope and Opportunity Treatment Facility | Community/Behavioral Health | 380 S Potomac St Ste 130, Aurora, CO 80012-2490 | 2015-12-28 |
Find all providers in AURORA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.