Organization Active NPI

I Made the Choice 2 Change, Inc

Doing business as Don't Be Afraid To Change,LLC

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1780492371
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
I MADE THE CHOICE 2 CHANGE, INC
Doing business as
Don't Be Afraid To Change,LLC
I Made The Choice 2 Change, Inc
Practice address
4046 73Rd St
Sacramento, CA 95820-3521
Phone
(916) 429-5754
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Vance Guy, SUDCC
Title
Tresure
Phone
(916) 429-5754

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4046 73Rd St
Sacramento, CA 95820-3521

Mailing address

4046 73Rd St
Sacramento, CA 95820-3521
Phone (916) 429-5754

Other names 2

  • Don't Be Afraid To Change,LLC Doing business as
  • I Made The Choice 2 Change, Inc Doing business as

National Provider Directory

National Provider Directory

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": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1780492371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 73RD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203521",
            "telephone_number": "916-429-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 73RD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203521",
            "telephone_number": "916-429-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I MADE THE CHOICE 2 CHANGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "VANCE",
        "authorized_official_title_or_position": "TRESURE",
        "authorized_official_telephone_number": "916-429-5754",
        "authorized_official_credential": "SUDCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Don't Be Afraid To Change,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "I Made The Choice 2 Change, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.