Active NPI
Breaking Barriers LLC
- Community/Behavioral Health Agency
- Burnsville, MN
National Provider Identifier
1295240265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BREAKING BARRIERS LLC
- Practice address
- 14500 Burnhaven Dr Ste 123
Burnsville, MN 55306-4926 - Phone
- (952) 303-3489
- NPI assigned
- Dec 12, 2017
- Last updated
- Dec 12, 2017
- 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
- Kelly Michael Welsh
- Title
- Director of Services
- Phone
- (952) 303-3489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MN | Primary |
Addresses
Primary practice location
14500 Burnhaven Dr Ste 123
Burnsville, MN 55306-4926
Mailing address
14500 Burnhaven Dr Ste 123
Burnsville, MN 55306-4926
Phone (952) 303-3489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6352077 | Other | MN | MN DHS LICENSING |
National Provider Directory
National Provider DirectoryLocations
14500 Burnhaven Dr
Ste 123
Burnsville, MN 55306
Phone (952) 303-3489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1295240265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14500 BURNHAVEN DR STE 123",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064926",
"telephone_number": "952-303-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 BURNHAVEN DR STE 123",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064926",
"telephone_number": "952-303-3489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKING BARRIERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "WELSH",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR OF SERVICES",
"authorized_official_telephone_number": "952-303-3489"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN DHS LICENSING",
"identifier": "6352077",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.