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BREAKING CYCLES COUNSELING
NPI 1972284958
Social Worker - Clinical in Grand Terrace, CA

Active since July 31, 2023
12139 MOUNT VERNON AVE STE 105, GRAND TERRACE, CA 92313(909) 222-0096(840) 600-3050 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2026, May 6, 2026, Mar 22, 2026 and 2 more (5 updates tracked since 2025).

About Breaking Cycles Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREAKING CYCLES COUNSELING (NPI 1972284958) is a healthcare organization registered as a clinical in Grand Terrace, California and active in the NPI registry since July 2023. The organization maintains 4 additional practice locations and lists Kalisha Koran Brown, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972284958
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBREAKING CYCLES COUNSELING
Location Address12139 MOUNT VERNON AVE STE 105Grand Terrace, CA 92313-5500
Mailing Address3010 S Dakota StPine Bluff, AR 71601-7208 · (870) 200-9393 · Fax (840) 600-3050
Phone(909) 222-0096
Fax(840) 600-3050
Organization SubpartNo
Authorized OfficialKalisha Koran BrownCeo · (909) 222-0096
Enumeration DateJuly 31, 2023
Last NPPES UpdateMay 14, 20265 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1972284958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
12139 MOUNT VERNON AVE STE 105, Grand Terrace, CA 92313
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Other Names 2

Doing Business AsBreaking Cycles Counseling
Other NameBreaking Cycles Counseling And Behavioral Health

Secondary Practice Locations 4

Location 1600 Congress Ave Fl 14Austin, TX 78701-3263 · Phone (323) 205-7088 · Fax (833) 419-0181
Location 2400 W Capitol Ave Ste 1700Little Rock, AR 72201-3438 · Phone (323) 205-7088 · Fax (833) 419-0181
Location 33010 S Dakota StPine Bluff, AR 71601-7208 · Phone (909) 222-0096 · Fax (840) 600-3050
Location 4901 N Glebe Rd Fl 5Arlington, VA 22203-1853 · Phone (323) 205-7088 · Fax (833) 419-0181

Other Identifiers 1

Medicaid100393986CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breaking Cycles Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Breaking Cycles Counseling, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Janeen Bonilla
Marriage and Family Therapist
NPI 1083318091
16335 AVENIDA DE LORING
Moreno Valley, CA 92551
(951) 965-6063
✔ PECOS12 mi
Kalisha Koran Brown, LCSW
Clinical Social Worker
NPI 1396307070
2500 RIKE DR
Pine Bluff, AR 71603
(870) 534-1834
✔ PECOS✔ Accepts Medicare1,446 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breaking Cycles Counseling's NPI number?

The NPI number for Breaking Cycles Counseling is 1972284958. It was assigned to this organization in the NPPES registry on July 31, 2023. The provider is also known as Breaking Cycles Counseling and Behavioral Health.

Where is Breaking Cycles Counseling located?

Breaking Cycles Counseling is located at 12139 Mount Vernon Ave Ste 105, Grand Terrace, CA 92313. The listed phone number is (909) 222-0096.

What is Breaking Cycles Counseling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Breaking Cycles Counseling enrolled in Medicare?

Yes. Breaking Cycles Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Breaking Cycles Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Breaking Cycles Counseling, in Clinical Social Worker and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Breaking Cycles Counseling was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.