Breaking the Cycle of Addiction

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

BREAKING THE CYCLE OF ADDICTION

Practice address

6011 Stacy Ave
Sacramento, CA 95823-3945

Phone

(916) 583-1035

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Marion Cornelius Wolfe Jr., MSW/ACSWNPI 1780942334

Title

President

Phone

(916) 583-1035

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BREAKING THE CYCLE OF ADDICTION Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marion Cornelius Wolfe Jr., ASW70101

  • Social Worker
  • Sacramento, CA
  • NPI 1780942334

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1598227910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 STACY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958233945",
            "telephone_number": "916-583-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 STACY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958233945",
            "telephone_number": "916-583-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6011 Stacy Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958233945",
            "country_code": "US",
            "telephone_number": "916-583-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKING THE CYCLE OF ADDICTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "CORNELIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-583-1035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW/ACSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-PERSONAL",
            "identifier": "1780942334",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BREAKING THE CYCLE OF ADDICTION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Darianna Elaine Brazell
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• Steven John Brazis, D.D.S.
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• Breathe California Sacramento Region
• Rachel Breault
• Mary Louise Breazeale
• Lashanya Jeanean Breazell

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.