Breaking the Mental Chains, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC1083359 Issued in MO

Legal business name

BREAKING THE MENTAL CHAINS, LLC

Practice address

1522 E Camino Alto St
Springfield, MO 65804-7303

Phone

(417) 894-2731

Fax

(417) 890-7757

NPI assigned

Sep 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ed Melton, LPC

Title

Executive Director

Phone

(417) 894-2731

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eddie C. Melton, LPC

  • Professional Counselor
  • Ozark, MO
  • NPI 1679579353
  NPD
• Joyce Dianne Ries, LCSW

  • Clinical Social Worker
  • Bolivar, MO
  • NPI 1578611687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1003123597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14462",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658140462",
            "telephone_number": "417-894-2731",
            "fax_number": "417-890-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E CAMINO ALTO ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047303",
            "telephone_number": "417-894-2731",
            "fax_number": "417-890-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING THE MENTAL CHAINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-894-2731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "LC1083359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Allen Bravin, MD
• Lindsey Nicole Bravin, M.D.
• Marlana Marie Bray
• Tyler Bray
• Maria J Brazil, MD
• Breast Imaging of the Ozarks LLC
• Breath of Life Wellness Center
• James Brecheisen, MD
• Becky Breckner, LPC
• Nicole Bredbenner

• Community/Behavioral Health Agency in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.