NPIMap

Organization Active NPI

Makin' Choices, Inc.

  • Community/Behavioral Health Agency
  • Lillington, NC
National Provider Identifier
1669848354
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6791 Issued in NC
Legal business name
MAKIN' CHOICES, INC.
Practice address
42 Gerald Allen LN
Lillington, NC 27546-9473
Phone
(336) 420-3195
NPI assigned
Aug 17, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Ms. Rachelle Brooks-Blue, LPC
Title
Owner/Clinical Director
Phone
(910) 257-4339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6791 NC Primary

Addresses

Primary practice location

42 Gerald Allen LN
Lillington, NC 27546-9473

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3409108MedicaidNC

Other names 1

  • Campbell AFL Other name

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": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1669848354",
    "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": "42 GERALD ALLEN LN",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469473",
            "telephone_number": "336-420-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKIN' CHOICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS-BLUE",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-257-4339",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell AFL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.