Breaking the Cycle, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BREAKING THE CYCLE, LLC

Practice address

112 S Providence Rd Ste 201
North Chesterfield, VA 23236-3300

Phone

(804) 822-0236

Fax

(804) 660-6571

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Quatysha Nia Jackson, LCSWNPI 1245892579

Title

Owner

Phone

(804) 822-0236

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quatysha N Jackson, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
  • NPI 1245892579

  Community/Behavioral Health

  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1689397523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S PROVIDENCE RD STE 201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363300",
            "telephone_number": "804-822-0236",
            "fax_number": "804-660-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S PROVIDENCE RD STE 201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363300",
            "telephone_number": "804-822-0236",
            "fax_number": "804-660-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING THE CYCLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "QUATYSHA",
        "authorized_official_middle_name": "NIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-822-0236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Katherine Bradtke, MS, ATC
• Branches of Life Healing Center LLC
• Brandsync Benefit Corporation
• Bailey Marie Brannon, OTR/L
• Cindy Braxton
• Sara M Breeden, MD
• Bridgepoint Services, LLC
• Steven D. Bridges, DO
• Bridgeway Residential Services
• Jennifer Bridy

• Community/Behavioral Health Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.