Breaking Illusions Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BREAKING ILLUSIONS COUNSELING LLC

Practice address

2230 33Rd St Ste 8
Spirit Lake, IA 51360-7632

Phone

(712) 260-3117

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Whitney Lynn Gray, LMHC, OWNERNPI 1013533900

Title

Clinical Mental Health Counselor

Phone

(712) 260-3117

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.

• Whitney Gray, LMHC

  • Mental Health Counselor
  • Spirit Lake, IA
  • NPI 1013533900
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1598548976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "ARNOLDS PARK",
            "state": "IA",
            "postal_code": "513310025",
            "telephone_number": "712-260-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 33RD ST STE 8",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607632",
            "telephone_number": "712-260-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING ILLUSIONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "712-260-3117",
        "authorized_official_credential": "LMHC, OWNER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Arthur Birkland
• Courtney N Bolluyt, PA-C
• Jeremy E Bolluyt, D.O.
• Zachary A Borus, MD
• Jessica Braun, PT, DPT
• Brittany Brennan, MA, CCC-SLP
• Hannah Rae Buffington
• Steven C Carlson, D.O.
• Arnold Leroy Caswell, CRNA
• Adam Caviness

• Mental Health Counselor in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.