Organization Active NPI

Ironwood Recovery Collective LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1467323287
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IRONWOOD RECOVERY COLLECTIVE LLC
Practice address
3707 E Southern Ave Ste 1032
Mesa, AZ 85206-6203
Phone
(480) 331-5184
NPI assigned
Sep 15, 2025
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Jim Glover
Title
Owner
Phone
(480) 331-5184

Specialties & licenses 1

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

Addresses

Primary practice location

3707 E Southern Ave Ste 1032
Mesa, AZ 85206-6203

Mailing address

3707 E Southern Ave Ste 1032
Mesa, AZ 85206-6203

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2337381Ironwood Recovery Collective LLC3707 E Southern Ave Ste 1032, Mesa, AZ 85206Certificate of waiverJan 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ironwood Recovery Collective LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3707 E Southern Ave
Ste 1032
Mesa, AZ 85206
Phone (480) 331-5184

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1467323287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 1032",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 1032",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066203",
            "telephone_number": "480-331-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD RECOVERY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-331-5184"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.