Organization Active NPI

S.T.a.R. - Stand Together and Recover Centers, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1417039686
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSA06ADHS0058 Issued in AZ
Legal business name
S.T.A.R. - STAND TOGETHER AND RECOVER CENTERS, INC.
Practice address
77 E Columbus Ave Ste 102
Phoenix, AZ 85012-2351
Phone
(602) 685-1295
Fax
(602) 685-1298
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Jose Perez
Title
Quality Assurance Director
Phone
(602) 526-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSA06ADHS0058 AZ Primary

Addresses

Primary practice location

77 E Columbus Ave Ste 102
Phoenix, AZ 85012-2351

Mailing address

77 E Columbus Ave Ste 210
Phoenix, AZ 85012-2351
Phone (602) 231-0071

Other names 1

  • STAR Central Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211101000744 AZ Part B Supplier - Mass Immunization (Roster Biller Only) 9335537976 Practice locations: Phoenix, AZ
O20220428000249 AZ Part B Supplier - Clinic/Group Practice 9335537976 Receives reassigned benefits from 1 practitioner
Practice locations: Avondale, AZ; Mesa, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Star - Stand Together and Recover Centers Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

77 E Columbus Ave
Ste 102
Phoenix, AZ 85012
Phone (602) 248-4432

77 E Columbus Ave
Ste 210
Phoenix, AZ 85012

Practitioners & affiliated clinicians

Practitioners 2

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1417039686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E COLUMBUS AVE STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122351",
            "telephone_number": "602-231-0071",
            "fax_number": "602-231-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E COLUMBUS AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122351",
            "telephone_number": "602-685-1295",
            "fax_number": "602-685-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.T.A.R. - STAND TOGETHER AND RECOVER CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "602-526-5354"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSA06ADHS0058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR Central",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.