Active NPI
Ascend Recovery Services
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1457107047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- ASCEND RECOVERY SERVICES
- Practice address
- 2301 E Portland St
Phoenix, AZ 85006-3154 - Phone
- (623) 882-4513
- NPI assigned
- Apr 25, 2024
- 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. Sekou Jackson, MPA
- Title
- Administrator
- Phone
- (623) 293-7792
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
2301 E Portland St
Phoenix, AZ 85006-3154
Mailing address
3104 E Camelback Rd # 2717
Phoenix, AZ 85016-4502
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1457107047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 E CAMELBACK RD # 2717",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E PORTLAND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063154",
"telephone_number": "623-882-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCEND RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "SEKOU",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "623-293-7792",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 25, 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.