NPIMap

Organization Active NPI

Freshstart Recovery LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1033675608
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FRESHSTART RECOVERY LLC
Practice address
2913 W Dunbar Dr
Phoenix, AZ 85041-6353
Phone
(480) 343-0086
Fax
(602) 975-6568
NPI assigned
Feb 19, 2019
Last updated
Aug 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Alisa Dunker, MAPC, LPC, NCC, CCBTNPI 1942512918
Title
Clinical Coordinator
Phone
(602) 299-3545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2913 W Dunbar Dr
Phoenix, AZ 85041-6353

Mailing address

2913 W Dunbar Dr
Phoenix, AZ 85041-6353
Phone (480) 343-0086

National Provider Directory

National Provider Directory
Tax ID family
Freshstart Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1033675608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 W DUNBAR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416353",
            "telephone_number": "480-343-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 W DUNBAR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416353",
            "telephone_number": "480-343-0086",
            "fax_number": "602-975-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESHSTART RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "DUNKER",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "602-299-3545",
        "authorized_official_credential": "MAPC, LPC, NCC, CCBT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.