Active NPI
Breaking All Barriers
- Community Health Clinic/Center
- Montclair, NJ
National Provider Identifier
1003642034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- BREAKING ALL BARRIERS
- Practice address
- 23 Wheeler St
Montclair, NJ 07042-4603 - Phone
- (973) 819-2033
- NPI assigned
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherell Benders, MA, ED
- Title
- Counselor
- Phone
- (973) 819-2033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
23 Wheeler St
Montclair, NJ 07042-4603
Mailing address
23 Wheeler St
Montclair, NJ 07042-4603
Phone (973) 819-2033
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1003642034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WHEELER ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424603",
"telephone_number": "973-819-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WHEELER ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424603",
"telephone_number": "973-819-2033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKING ALL BARRIERS",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-08",
"status": "A",
"authorized_official_last_name": "BENDERS",
"authorized_official_first_name": "SHERELL",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "973-819-2033",
"authorized_official_credential": "MA, ED"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.