NPIMap

Organization Active NPI

Breaking Free

  • Community/Behavioral Health Agency
  • Naperville, IL
National Provider Identifier
1700923927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A-0380-0004-A Issued in IL
Legal business name
BREAKING FREE
Practice address
800 W 5TH Ave
Suite 102 B
Naperville, IL 60563-8965
Phone
(630) 355-2585
Fax
(630) 355-2676
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kim Cacciato
Title
Billing Specialist
Phone
(630) 572-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A-0380-0004-A IL Primary

Addresses

Primary practice location

800 W 5TH Ave
Suite 102 B
Naperville, IL 60563-8965

Mailing address

800 W 5TH Ave
Suite 102 B
Naperville, IL 60563-8965
Phone (630) 355-2585

Other identifiers 2

IdentifierTypeStateIssuer
0380OtherILDASA PROVIDER NUMBER
1839OtherILBLUE CROSS PROVIDER NUMBE

National Provider Directory

National Provider Directory
Tax ID family
Breaking Free Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 W 5th Ave
Ste 102B
Naperville, IL 60563
Phone (815) 931-0047

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700923927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "address_2": "SUITE 102 B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638965",
            "telephone_number": "630-355-2585",
            "fax_number": "630-355-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "address_2": "SUITE 102 B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638965",
            "telephone_number": "630-355-2585",
            "fax_number": "630-355-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING FREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CACCIATO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "630-572-8228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0380-0004-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DASA PROVIDER NUMBER",
            "identifier": "0380",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "1839",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.