Breaking Barriers Wellness and Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BREAKING BARRIERS WELLNESS AND COUNSELING PLLC

Practice address

5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386

Phone

(919) 559-5568

Fax

(919) 371-5599

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Marecius Samuel, LPC

Title

Ceo/Mental Health Clinician

Phone

(919) 559-5568

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1104384445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063386",
            "telephone_number": "919-559-5568",
            "fax_number": "919-371-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063386",
            "telephone_number": "919-559-5568",
            "fax_number": "919-371-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING BARRIERS WELLNESS AND COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "MARECIUS",
        "authorized_official_title_or_position": "CEO/MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "919-559-5568",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Raleigh, NC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.