Breaking Stigmas Healing Center LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BREAKING STIGMAS HEALING CENTER LLC

Practice address

725 Kingland Ave
Suite 100 #5
University, MO 63130

Phone

(314) 593-0188

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamese A'Rea Walton, LPCNPI 1538773999

Title

Owner/ Therapist

Phone

(314) 593-0188

Specialties & licenses 1

Addresses

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.

• Jamese A'Rea Walton, PLPC

  • Professional Counselor
  • Webster Groves, MO
  • NPI 1538773999
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1396435947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KINGLAND AVE",
            "address_2": "SUITE 100 #5",
            "city": "UNIVERSITY",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-593-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KINGLAND AVE",
            "address_2": "SUITE 100 #5",
            "city": "UNIVERSITY",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-593-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 Laclede Station Rd Apt B",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MO",
            "postal_code": "631431126",
            "country_code": "US",
            "telephone_number": "314-593-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKING STIGMAS HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "JAMESE",
        "authorized_official_middle_name": "A'REA",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "314-593-0188",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.