Organization Active NPI

Wellness and Recovery

  • Peer Specialist
  • Phoenix, AZ
National Provider Identifier
1134967177
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
WELLNESS AND RECOVERY
Practice address
2510 E Pleasant LN
Phoenix, AZ 85042-5161
Phone
(602) 466-4696
NPI assigned
Jul 15, 2024
Last updated
Sep 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Authorized official

Name
Mr. Rodney Sheppard Sr., PRSSNPI 1700631298
Title
Ceo
Phone
(602) 466-4696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

2510 E Pleasant LN
Phoenix, AZ 85042-5161

Mailing address

4321 E Saint Anne Ave
Phoenix, AZ 85042-5232
Phone (602) 466-4696

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, 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": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725148800000",
    "number": "1134967177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 E SAINT ANNE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425232",
            "telephone_number": "602-466-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E PLEASANT LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425161",
            "telephone_number": "602-466-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-466-4696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PRSS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "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 Sep 1, 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.