NPIMap

Organization Active NPI

MM Unlimited Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1265769632
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MM UNLIMITED INC.
Practice address
2315 34TH St
Room E21, E25 & E26A
Sacramento, CA 95817-1211
Phone
(916) 421-1184
Fax
(916) 421-1188
NPI assigned
Nov 5, 2009
Organization subpart
Yes
Parent organization
MM UNLIMITED INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Ms. Linda S Johnson
Title
Program Administrator
Phone
(916) 421-1184

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2315 34TH St
Room E21, E25 & E26A
Sacramento, CA 95817-1211

Mailing address

3811 Florin Rd
Suite 26
Sacramento, CA 95823-1800
Phone (916) 421-1184

Other identifiers 1

IdentifierTypeStateIssuer
343471MedicaidCA

Other names 1

  • Bridges Recovery Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MM Unlimited Inc4 organizations share this tax ID, including this one
Part of
MM Unlimited Inc

Other organizations with this tax ID 3

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

Locations

2315 34th St
Rm E21
Sacramento, CA 95817
Phone (916) 421-1184

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1265769632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 FLORIN RD",
            "address_2": "SUITE 26",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231800",
            "telephone_number": "916-421-1184",
            "fax_number": "916-421-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 34TH ST",
            "address_2": "ROOM E21, E25 & E26A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171211",
            "telephone_number": "916-421-1184",
            "fax_number": "916-421-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM UNLIMITED INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MM UNLIMITED INC.",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "916-421-1184",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges Recovery Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.