Organization Active NPI

Breaking Free of Addiction

  • Addiction (Substance Use Disorder) Counselor
  • Perris, CA
National Provider Identifier
1457897266
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A8250912 Issued in CA
Legal business name
BREAKING FREE OF ADDICTION
Practice address
27140 Plum St
Perris, CA 92570-7720
Phone
(951) 443-9758
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Christy Lennox, CADC II, ICADCNPI 1477371862
Title
Drug and Alcohol Counselor
Phone
(951) 443-9758

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X A8250912 CA Primary

Addresses

Primary practice location

27140 Plum St
Perris, CA 92570-7720

Mailing address

27140 Plum St
Perris, CA 92570-7720
Phone (951) 443-9758

Other names 1

  • Breaking Free with Horses Other name

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1457897266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27140 PLUM ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925707720",
            "telephone_number": "951-443-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27140 PLUM ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925707720",
            "telephone_number": "951-443-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING FREE OF ADDICTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "LENNOX",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DRUG AND ALCOHOL COUNSELOR",
        "authorized_official_telephone_number": "951-443-9758",
        "authorized_official_credential": "CADC II, ICADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A8250912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breaking Free with Horses",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.