Organization Active NPI

Art of Recovery Services NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Libertyville, IL
National Provider Identifier
1104560887
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ART OF RECOVERY SERVICES NFP
Practice address
1512 Artaius Pkwy Ste 200
Libertyville, IL 60048-5231
Phone
(847) 461-1005
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
George Mazya
Title
Ceo
Phone
(847) 461-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1512 Artaius Pkwy Ste 200
Libertyville, IL 60048-5231

Mailing address

1512 Artaius Pkwy Ste 200
Libertyville, IL 60048-5231
Phone (847) 461-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230731001885 IL Part B Supplier - Clinic/Group Practice 0244691798 Receives reassigned benefits from 4 practitioners
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

1512 Artaius Pkwy
Ste 200
Libertyville, IL 60048
Phone (847) 461-1005

Practitioners & affiliated clinicians

Practitioners 4

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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1104560887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 ARTAIUS PKWY STE 200",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485231",
            "telephone_number": "847-461-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 ARTAIUS PKWY STE 200",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485231",
            "telephone_number": "847-461-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF RECOVERY SERVICES NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MAZYA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-461-1005"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.