Active NPI
Peer Outreach, Recovery & Reentry Services
- Community Health Clinic/Center
- Mesa, AZ
National Provider Identifier
1285438499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- PEER OUTREACH, RECOVERY & REENTRY SERVICES
- Practice address
- 423 N Country Club Dr Ste 34
Mesa, AZ 85201-5725 - Phone
- (602) 816-1493
- NPI assigned
- Apr 4, 2025
- 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
- Mr. Manuel Thomas Robinson, LCHW,PRSS
- Title
- Ceo
- Phone
- (602) 816-1493
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
423 N Country Club Dr Ste 34
Mesa, AZ 85201-5725
Mailing address
11333 N 92ND St Unit 2088
Scottsdale, AZ 85260-6156
Phone (602) 816-1493
National Provider Directory
National Provider DirectoryLocations
423 N Country Club Dr
Ste 34
Mesa, AZ 85201
Phone (602) 816-1493
Practitioners & affiliated clinicians
Practitioners 1
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": "1743724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1285438499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11333 N 92ND ST UNIT 2088",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606156",
"telephone_number": "602-816-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N COUNTRY CLUB DR STE 34",
"city": "MESA",
"state": "AZ",
"postal_code": "852015725",
"telephone_number": "602-816-1493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEER OUTREACH, RECOVERY & REENTRY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-816-1493",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCHW,PRSS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.