Organization Active NPI

Breaking Barriers Together

  • Family Psychologist
  • Oklahoma City, OK
National Provider Identifier
1356959589
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Legal business name
BREAKING BARRIERS TOGETHER
Practice address
14300 N Pennsylvania Ave Apt 326
Oklahoma City, OK 73134-6063
Phone
(405) 568-1338
NPI assigned
Jul 14, 2020
Last updated
Jul 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Authorized official

Name
Mr. Xander Faison, LMFTNPI 1255959508
Title
Clinician
Phone
(443) 876-0637

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

14300 N Pennsylvania Ave Apt 326
Oklahoma City, OK 73134-6063

Mailing address

14300 N Pennsylvania Ave Apt 326
Oklahoma City, OK 73134-6063
Phone (405) 568-1338

Other identifiers 1

IdentifierTypeStateIssuer
0578458974MedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Breakingbarriestogether1@outlook.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Breaking Barriers Together2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1356959589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 N PENNSYLVANIA AVE APT 326",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346063",
            "telephone_number": "405-568-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N PENNSYLVANIA AVE APT 326",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346063",
            "telephone_number": "405-568-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING BARRIERS TOGETHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "XANDER",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "443-876-0637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0578458974",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Breakingbarriestogether1@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14300 N Pennsylvania Ave Apt 326",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731346063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.