Organization Active NPI

Willing 2 Move Forward

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Long Beach, CA
National Provider Identifier
1679357107
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WILLING 2 MOVE FORWARD
Practice address
5543 Atlantic Ave Ste B
Long Beach, CA 90805-5412
Phone
(562) 612-1524
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Mrs. Michelle Anne TalbottNPI 1831384122
Title
Executive Director
Phone
(562) 528-2139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5543 Atlantic Ave Ste B
Long Beach, CA 90805-5412

Mailing address

1104 Olive Ave
Long Beach, CA 90813-3521
Phone (562) 528-2139

Other practice location 1

1104 Olive Ave
Long Beach, CA 90813-3521
Phone (562) 528-2139

National Provider Directory

National Provider Directory

Locations

5543 Atlantic Ave
Ste B
Long Beach, CA 90805
Phone (562) 612-1524

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1679357107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 OLIVE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133521",
            "telephone_number": "562-528-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5543 ATLANTIC AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055412",
            "telephone_number": "562-612-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Olive Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133521",
            "country_code": "US",
            "telephone_number": "562-528-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLING 2 MOVE FORWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-528-2139",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.