Repairing the Bridge

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REPAIRING THE BRIDGE

Practice address

20740 N Madison Dr
Maricopa, AZ 85138-8437

Phone

(520) 701-4575

NPI assigned

Sep 19, 2024

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila Reed, LASAC, TICNPI 1659106649

Title

Owner/Therapist

Phone

(520) 701-4575

Specialties & licenses 2

Addresses

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.

• Sheila Reed, LIAC-15543

  • Addiction (Substance Use Disorder) Counselor
  • Maricopa, AZ
  • NPI 1659106649
  NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1386471605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20740 N MADISON DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388437",
            "telephone_number": "520-701-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20740 N MADISON DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388437",
            "telephone_number": "520-701-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPAIRING THE BRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "520-701-4575",
        "authorized_official_credential": "LASAC, TIC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Reinhold, LPC
• Robert Reitman Jr.
• Renal Dimensions, LLC (Renal Care Group Ak-Chin)
• Timisha Mahogany Reneau
• Janice Renfro
• Repairing the Bridge Behavioral Health Services
• Laura Riccobono, PHARMD
• Tamika A Rice
• Natalia Richmond, PA-C
• Hiram A. Rivera Padilla, MD

• Addiction (Substance Use Disorder) Counselor in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.