NPIMap

Organization Active NPI

Breaking Free Counseling and Consulting Services

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1568085546
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BREAKING FREE COUNSELING AND CONSULTING SERVICES
Practice address
2800 Freeway Blvd Ste 113
Minneapolis, MN 55430-1751
Phone
(612) 430-9298
NPI assigned
May 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Alexandria Grim, LPCCNPI 1225562333
Title
Owner/Psychotherapist
Phone
(314) 295-9103

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2800 Freeway Blvd Ste 113
Minneapolis, MN 55430-1751

Mailing address

121 83Rd Ave NE Apt 108
Fridley, MN 55432-1881
Phone (314) 295-9103

National Provider Directory

National Provider Directory

Locations

2800 Freeway Blvd
Ste 113
Minneapolis, MN 55430
Phone (314) 295-9103

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": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1568085546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 83RD AVE NE APT 108",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321881",
            "telephone_number": "314-295-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 113",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "612-430-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING FREE COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "GRIM",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "314-295-9103",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.