Chain Breaker, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CHAIN BREAKER, LLC

Practice address

1941 S 42ND St Ste 402D
Omaha, NE 68105-2944

Phone

(402) 237-7482

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Cynthia Kay Goodrich, LADCNPI 1205404829

Title

Substance Abuse Counselor

Phone

(402) 237-7482

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.

• Cynthia Kay Goodrich, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1205404829
  NPD Authorized official
• Amy Christine Woods, PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1861060485
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1073189908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S 48TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063225",
            "telephone_number": "402-237-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 402D",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052944",
            "telephone_number": "402-237-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAIN BREAKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "402-237-7482",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Mandrelle Chafe, RD
• Kelsey Chaffin
• Lore Chaffin
• Aylin Chaidez
• Efrain Chaidez
• Gabriela Chairez, CNA
• Nattanicha Chaisrimaneepan
• Chakri LLC
• Upasana Chalise
• Julie Marie Chaloupka, M.S., CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.