Active NPI
Red Rock Family Services LLC
- Community/Behavioral Health Agency
- Cottonwood, AZ
National Provider Identifier
1215568324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Wade King, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215568324 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Cottonwood, AZ
- NPI 1649679267
-
- Clinical Social Worker
- Cottonwood, AZ
- NPI 1346860525
-
- Professional Counselor
- Cottonwood, AZ
- NPI 1801104336
-
- Professional Counselor
- Cottonwood, AZ
- NPI 1427558634
-
- Professional Counselor
- Cottonwood, AZ
- NPI 1902561210
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.