Active NPI
Evoke Recovery LLC
- Community/Behavioral Health Agency
- Chandler, AZ
National Provider Identifier
1467066399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EVOKE RECOVERY LLC
- Practice address
- 1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162 - Phone
- (480) 800-2530
- Fax
- (480) 800-2531
- NPI assigned
- Sep 8, 2020
- 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
- Mark Valdez
- Title
- Chief Administrator
- Phone
- (480) 257-0656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162
Mailing address
630 E Deer Creek Rd
Phoenix, AZ 85048-0196
Phone (480) 257-0656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007227 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Behavioral Health Agency
- Chandler, AZ
- NPI 1821851411
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chandler, AZ
- NPI 1114318185
-
- Professional Counselor
- Chandler, AZ
- NPI 1215565759
-
- Professional Counselor
- Gilbert, AZ
- NPI 1164921284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1467066399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E DEER CREEK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480196",
"telephone_number": "480-257-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W CHANDLER BLVD STE 230",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246162",
"telephone_number": "480-800-2530",
"fax_number": "480-800-2531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOKE RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-08",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "VALDEZ",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
"authorized_official_telephone_number": "480-257-0656"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007227",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.