Break the Lease Therapy Practice, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BREAK THE LEASE THERAPY PRACTICE, LLC

Practice address

2111 N Mozart St Apt 1W
Chicago, IL 60647-3980

Phone

(847) 913-2605

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Alyssa Janine Fatigato, LCSWNPI 1124758289

Title

Owner, Psychotherapist

Phone

(847) 913-2605

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.

• Alyssa Fatigato, MSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1124758289

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1962265116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N MOZART ST APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473980",
            "telephone_number": "847-913-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N MOZART ST APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473980",
            "telephone_number": "847-913-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAK THE LEASE THERAPY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "FATIGATO",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "JANINE",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-913-2605",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Brdicka, FNP
• Cristina Mercedes Brea, MD
• Nina Brea, MD
• Jonith Y. Breadon, M.D.
• Break the Cycle Foundation Inc
• Breathe and Be Therapy PLLC
• Breathing Space: Mindfulness and Therapy
• Stephen Breault, PT
• Alyssa Michelle Breazeale
• Adriana Veronica Breban

• All providers in Chicago, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.