Individual provider Active NPI

Bryon Ross Sabatino, MC, LISAC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Tempe, AZ
National Provider Identifier
1295723781
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC1620 Issued in AZ
Practice address
3231 S Country Club Way
Suite 111
Tempe, AZ 85282-4053
Phone
(480) 755-4016
Fax
(480) 755-4018
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC1620 AZ Primary
Mental Health Counselor 101YM0800X LPC0146 AZ

Addresses

Primary practice location

3231 S Country Club Way
Suite 111
Tempe, AZ 85282-4053

Mailing address

3231 S Country Club Way
Suite 111
Tempe, AZ 85282-4053
Phone (480) 755-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LISAC1620AZMDAddiction (Substance Use Disorder) Counselor
LPC0146AZMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295723781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY",
            "address_2": "SUITE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053",
            "telephone_number": "480-755-4016",
            "fax_number": "480-755-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY",
            "address_2": "SUITE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053",
            "telephone_number": "480-755-4016",
            "fax_number": "480-755-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINO",
        "first_name": "BRYON",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "MC, LISAC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC1620",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC0146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.