BREAKING FREE INC (NPI# 1649703018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649703018 |
| Entity Type | Organization |
| Organization Name | BREAKING FREE INC |
| Practice Address |
120 Gale St Aurora IL 60506-5084 |
| Practice Telephone | 6308971003 |
| Practice Fax Number | 6308971042 |
| Mailing Telephone | 6308971003 |
| Mailing Fax Number | 6308971042 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | MR. DIMITRIUS R MAYO (MANAGER, REVENUE CYCLE) |
| Authorized Official Telephone | 6305720556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
A-0380-0002-A | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065637 | Breaking Free Inc | Community/Behavioral Health | 659 S River St, Aurora, IL 60506-5551 | 2019-10-28 |
| 1316580897 | Breaking Free Inc | Community/Behavioral Health | 1329 N Lake St, Aurora, IL 60506-2409 | 2019-10-28 |
| Street Address |
120 GALE ST |
| City | AURORA |
| State | IL |
| Zip Code | 60506-5084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295872513 | Breaking Free | Community/Behavioral Health | 120 Gale St, Suite 200, Aurora, IL 60506-5084 | 2007-01-30 |
| 1396203642 | James Marshall | Social Worker | 120 Gale St, Aurora, IL 60506-5084 | 2019-03-06 |
| 1053877217 | Shawn Pundsack | Counselor | 120 Gale St, Aurora, IL 60506-5084 | 2019-02-13 |
| 1639634967 | Brian Daniel Harrison | Counselor | 120 Gale St, Aurora, IL 60506-5084 | 2019-01-31 |
| 1639651284 | Cynthia Lynn Weaver | Counselor | 120 Gale St, Aurora, IL 60506-5084 | 2018-08-30 |
| 1508355215 | Tiffany Markelz | Social Worker | 120 Gale St, Aurora, IL 60506-5084 | 2018-05-08 |
| 1336638196 | Katherine A Gutierrez | Counselor | 120 Gale St, Aurora, IL 60506-5084 | 2018-05-08 |
| 1154810919 | Jennifer Dziatkowiec | Social Worker | 120 Gale St, Aurora, IL 60506-5084 | 2018-05-08 |
| 1477919405 | Breaking Free Inc. | Community/Behavioral Health | 120 Gale St, Aurora, IL 60506-5084 | 2016-01-06 |
| 1740530740 | Michael James Moran | Counselor | 120 Gale St, Aurora, IL 60506-5084 | 2012-09-17 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1225509714 | Christopher Hawkins Phd | Clinic/Center | 100 Samantha Dr, Aurora, OH 44202-9801 | 2018-12-10 |
| 1437512316 | Association for Individual Development | Clinic/Center | 905 2nd Ave Fl 1, Aurora, IL 60505-3712 | 2016-03-30 |
| 1104200237 | Lutheran Social Services of Illinois | Clinic/Center | 85 Hankes Ave, Aurora, IL 60505-1774 | 2015-07-18 |
| 1447644646 | Compassionate Counseling | Clinic/Center | 13791 E Rice Pl # 110, Aurora, CO 80015-1057 | 2015-03-25 |
| 1578773214 | Asian Pacific Center for Human Development | Clinic/Center | 1537 Alton St, Aurora, CO 80010-1712 | 2007-05-23 |
| 1063591303 | Family Counseling Service of Aurora | Clinic/Center | 70 S. River St., Aurora, IL 60506 | 2006-11-06 |
| 1134149057 | Aurora Comprehensive Community Mental Health Center Inc | Clinic/Center | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2006-07-21 |
| 1720685423 | Aurora Comprehensive Community Mental Health Center | Clinic/Center | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-10-06 |
| 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.