NPIMap

Organization Active NPI

Breaking Free Inc

  • Community/Behavioral Health Agency
  • Aurora, IL
National Provider Identifier
1316580897
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BREAKING FREE INC
Practice address
1329 N Lake St
Aurora, IL 60506-2409
Phone
(630) 897-1003
Fax
(630) 897-1042
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Herbert Leon Stricklin, LCPC
Title
Director of Clinical Operations
Phone
(630) 897-1003

Specialties & licenses 1

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

Addresses

Primary practice location

1329 N Lake St
Aurora, IL 60506-2409

Mailing address

120 Gale St
Aurora, IL 60506-5084
Phone (630) 897-1003

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.breakingfreeinc.org

National Provider Directory

National Provider Directory
Tax ID family
Breaking Free Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1329 N Lake St
Aurora, IL 60506
Phone (630) 897-1003

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": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1316580897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GALE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605065084",
            "telephone_number": "630-897-1003",
            "fax_number": "630-897-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062409",
            "telephone_number": "630-897-1003",
            "fax_number": "630-897-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING FREE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "STRICKLIN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "630-897-1003",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.breakingfreeinc.org",
            "affiliation": "N",
            "address_1": "1329 N Lake St",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605062409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.