Organization Active NPI

Red Rock Family Services LLC

  • Community/Behavioral Health Agency
  • Cottonwood, AZ
National Provider Identifier
1215568324
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RED ROCK FAMILY SERVICES LLC
Practice address
297 S Willard St
Cottonwood, AZ 86326-4125
Phone
(928) 649-0447
Fax
(928) 350-6417
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Leslie Wade King, LPCNPI 1679642615
Title
Ceo
Phone
(832) 451-2628

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

297 S Willard St
Cottonwood, AZ 86326-4125

Mailing address

297 S Willard St
Cottonwood, AZ 86326-4125
Phone (928) 649-0447

Other identifiers 1

IdentifierTypeStateIssuer
1215568324MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227003690 AZ Part B Supplier - Clinic/Group Practice 4486099660 Receives reassigned benefits from 5 practitioners
Practice locations: Cottonwood, AZ

National Provider Directory

National Provider Directory

Locations

707 E Mingus Ave
Ste 400
Cottonwood, AZ 86326
Phone (928) 647-0447

297 S Willard St
Cottonwood, AZ 86326
Phone (928) 639-9596

Practitioners & affiliated clinicians

Practitioners 6

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1215568324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264125",
            "telephone_number": "928-649-0447",
            "fax_number": "928-350-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264125",
            "telephone_number": "928-649-0447",
            "fax_number": "928-350-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-451-2628",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215568324",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.