Organization Active NPI

Four Pillars Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pinetop, AZ
National Provider Identifier
1679444269
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FOUR PILLARS RECOVERY LLC
Practice address
674 E White Mountain Blvd
Suite 1
Pinetop, AZ 85935
Phone
(928) 228-0776
Fax
(480) 240-9578
NPI assigned
Sep 16, 2025
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Mr. Cody Knudson
Title
Partner
Phone
(928) 228-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

674 E White Mountain Blvd
Suite 1
Pinetop, AZ 85935

Mailing address

PO Box 141
Pinetop, AZ 85935-0141
Phone (928) 228-0776

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
03D2330182Four Pillars Recovery674 E White Mountain Blvd, Pinetop, AZ 85935Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1679444269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859350141",
            "telephone_number": "928-228-0776",
            "fax_number": "480-240-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 E WHITE MOUNTAIN BLVD",
            "address_2": "SUITE 1",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "85935",
            "telephone_number": "928-228-0776",
            "fax_number": "480-240-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR PILLARS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "928-228-0776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetop, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.