Organization Active NPI

Breaking Barriers LLC

  • Community/Behavioral Health Agency
  • Burnsville, MN
National Provider Identifier
1295240265
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6352077OtherMNMN DHS LICENSING

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.