Organization Active NPI

Breakthrough Recovery Group, Inc.

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
National Provider Identifier
1083053854
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
32160200 Issued in WA
Legal business name
BREAKTHROUGH RECOVERY GROUP, INC.
Practice address
11711 E Sprague Ave
Suite D4
Spokane Valley, WA 99206-6126
Phone
(509) 927-6838
Fax
(509) 927-6845
NPI assigned
Jun 14, 2013
Last updated
Jun 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Lisa F Parker, CDPNPI 1467890269
Title
Executive Director
Phone
(509) 927-6838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 32160200 WA Primary

Addresses

Primary practice location

11711 E Sprague Ave
Suite D4
Spokane Valley, WA 99206-6126

Mailing address

11711 E Sprague Ave
Suite D4
Spokane Valley, WA 99206-6126
Phone (509) 927-6838

National Provider Directory

National Provider Directory

Locations

11711 E Sprague Ave
Ste D4
Spokane Valley, WA 99206
Phone (509) 927-6838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1083053854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 E SPRAGUE AVE",
            "address_2": "SUITE D4",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066126",
            "telephone_number": "509-927-6838",
            "fax_number": "509-927-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 E SPRAGUE AVE",
            "address_2": "SUITE D4",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066126",
            "telephone_number": "509-927-6838",
            "fax_number": "509-927-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH RECOVERY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-927-6838",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "32160200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.