Breaking Barriers Counseling, LLC

Key facts

NPI

1104562503

Entity type

Organization (NPI type 2)

Primary specialty

Marriage & Family Therapist 106H00000X

Legal business name

BREAKING BARRIERS COUNSELING, LLC

Practice address

4128 N Walnut St
Richland, IN 47634-9462

Phone

(575) 642-4487

NPI assigned

May 9, 2022

Organization subpart

No

Authorized official

Name

Kristi Michelle Young, M.S., LMFT NPI 1821242579

Title

Owner, Provider

Phone

(575) 642-4487

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Kristi Michelle Young, LMHC Marriage & Family Therapist · Paducah, KY · NPI 1821242579
  NPD Authorized official MARRIAGE & FAMILY THERAPIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2022.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1104562503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 N WALNUT ST",
            "city": "RICHLAND",
            "state": "IN",
            "postal_code": "476349462",
            "telephone_number": "575-642-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 N WALNUT ST",
            "city": "RICHLAND",
            "state": "IN",
            "postal_code": "476349462",
            "telephone_number": "575-642-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING BARRIERS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "575-642-4487",
        "authorized_official_credential": "M.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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