Michelle'S Miracle Resource Foundation Inc

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MICHELLE'S MIRACLE RESOURCE FOUNDATION INC

Practice address

4719 Forest Pkwy
Sacramento, CA 95823-3139

Phone

(916) 821-1620

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Temeka S Fuller

Title

Social Worker

Phone

(916) 821-1620

Specialties & licenses 8

Addresses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1336958248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231951",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958230415",
            "telephone_number": "916-821-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 FOREST PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958233139",
            "telephone_number": "916-821-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE'S MIRACLE RESOURCE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "TEMEKA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "916-821-1620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Michalsky
• Valeria Michel Chavez
• Julienna Michel
• Marisela Michel
• Robert Michel
• Mark A Michelon
• Elizabeth Diane Michelotti, CADCII, CCS
• Chloe Joelle Mick
• Timothy E Mickiewicz, DDS
• Troy Allen Mickle, LMFT

• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.