Organization Active NPI

Changes for Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Santa Ana, CA
National Provider Identifier
1881774073
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
300097BP Issued in CA
Legal business name
CHANGES FOR RECOVERY
Practice address
300 N Tustin Ave
Suite 201
Santa Ana, CA 92705-3820
Phone
(714) 541-4007
Fax
(714) 541-2770
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Milton Mucker, CADC II
Title
Owner/Program Director
Phone
(714) 541-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 300097BP CA Primary

Addresses

Primary practice location

300 N Tustin Ave
Suite 201
Santa Ana, CA 92705-3820

Mailing address

300 N Tustin Ave
Suite 201
Santa Ana, CA 92705-3820
Phone (714) 541-4007

National Provider Directory

National Provider Directory

Locations

300 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 541-4007

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881774073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N TUSTIN AVE",
            "address_2": "SUITE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053820",
            "telephone_number": "714-541-4007",
            "fax_number": "714-541-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N TUSTIN AVE",
            "address_2": "SUITE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053820",
            "telephone_number": "714-541-4007",
            "fax_number": "714-541-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES FOR RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCKER",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "714-541-4007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "300097BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.