Active NPI
Nirvana Recovery LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- NIRVANA RECOVERY LLC
- Practice address
- 21725 N 20TH Ave
Phoenix, AZ 85027-2640 - Phone
- (480) 805-8927
- Fax
- (480) 805-8954
- NPI assigned
- Sep 30, 2022
- Last updated
- Jun 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Strauss
- Title
- Executive Director
- Phone
- (480) 764-2335
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary | |
| Substance Abuse Rehabilitation Facility | 324500000X | NU |
Addresses
Primary practice location
21725 N 20TH Ave
Phoenix, AZ 85027-2640
Mailing address
21725 N 20TH Ave
Phoenix, AZ 85027-2640
Phone (480) 764-2335
Other practice location 1
15852 N 17th St
Phoenix, AZ 85022-3365
Phone (602) 662-2287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTC13162 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2299711 | Nirvana Recovery LLC | Certificate of waiver | Feb 25, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Nirvana Recovery LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1154257491
-
dba Nirvana Residential Treatment
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1669289880
Locations
21725 N 20th Ave
Phoenix, AZ 85027
Phone (480) 805-8927
21725 N 20th Ave
Ste 103
Phoenix, AZ 85027
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
- NPI 1275164337
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1629398912
-
- Family Nurse Practitioner
- Glendale, AZ
- NPI 1003530635
-
- Professional Counselor
- Scottsdale, AZ
- NPI 1477153377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782172800000",
"number": "1093439259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21725 N 20TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272640",
"telephone_number": "480-764-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21725 N 20TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272640",
"telephone_number": "480-805-8927",
"fax_number": "480-805-8954"
}
],
"practiceLocations": [
{
"address_1": "15852 N 17th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850223365",
"country_code": "US",
"telephone_number": "602-662-2287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NIRVANA RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-30",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A",
"authorized_official_last_name": "STRAUSS",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "480-764-2335"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
"identifier": "OTC13162",
"state": "AZ"
}
],
"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 Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.