Breaking Barriers Mental Health Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BREAKING BARRIERS MENTAL HEALTH SERVICES, LLC

Practice address

9600 Milestone Way Apt 2016
College Park, MD 20740-4262

Phone

(443) 208-0676

NPI assigned

Jun 29, 2020

Last updated

Jun 29, 2020By 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

Darius Gwynn, LCSW-CNPI 1881163814

Title

Owner

Phone

(443) 208-0676

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.

• Darius Gwynn

  • Social Worker
  • Hyattsville, MD
  • NPI 1881163814
  Authorized official Same address or phone

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1669099354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 MILESTONE WAY APT 2016",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404262",
            "telephone_number": "443-208-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MILESTONE WAY APT 2016",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404262",
            "telephone_number": "443-208-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING BARRIERS MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "GWYNN",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-208-0676",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Josephine Bonelli, M.A., CCC-SLP
• Bones on Wheels
• Janelle Elizabeth Boogar
• Branchville Volunteer Fire Company and Rescue Squad Inc.
• Tenisha Brathwaite
• George John Bregman
• Cecilia Jean Brickerd, LCSW-C
• Brightrx
• Deborah Brown
• Charles Edward Buckley, MD

• Community/Behavioral Health Agency in College Park, MD
• Providers in College Park, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.