NPIMap

Organization Active NPI

Makin Choices Inc

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1639246010
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAKIN CHOICES INC
Practice address
1076 Stamper Rd
Fayetteville, NC 28303-4191
Phone
(910) 483-2002
Fax
(910) 483-4004
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Ms. Rachelle Brooks Blue, MA LPCS NCC CCSOTS
Title
Ceo Owner Ma LPC
Phone
(910) 257-4339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1076 Stamper Rd
Fayetteville, NC 28303-4191

Mailing address

1076 Stamper Rd
Fayetteville, NC 28303-4191
Phone (910) 483-2002

Other practice location 1

2609 N Duke St Ste 900
Durham, NC 27704-3019
Phone (919) 317-1170

Other identifiers 4

IdentifierTypeStateIssuer
8301222OtherNCCIS
8301560MedicaidNC
3409108MedicaidNC
6791OtherNCNC BOARD OF PROF. COUNSEL

National Provider Directory

National Provider Directory
Tax ID family
Makin' Choices Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1639246010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 STAMPER RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034191",
            "telephone_number": "910-483-2002",
            "fax_number": "910-483-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 STAMPER RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034191",
            "telephone_number": "910-483-2002",
            "fax_number": "910-483-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 N Duke St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277043019",
            "country_code": "US",
            "telephone_number": "919-317-1170",
            "fax_number": "919-317-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAKIN CHOICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "BROOKS BLUE",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "CEO OWNER MA LPC",
        "authorized_official_telephone_number": "910-257-4339",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LPCS NCC CCSOTS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIS",
            "identifier": "8301222",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301560",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409108",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PROF. COUNSEL",
            "identifier": "6791",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.