NPIMap

Organization Active NPI

Eaglecrest Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rogers, AR
National Provider Identifier
1689522674
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EAGLECREST RECOVERY LLC
Practice address
308 N 24TH St
Rogers, AR 72756-3295
Phone
(844) 439-7627
Fax
(479) 367-2899
NPI assigned
Mar 17, 2026
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EAGLECREST RECOVERY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
John Hernandez, LMFT
Title
Ceo
Phone
(949) 813-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

308 N 24TH St
Rogers, AR 72756-3295

Mailing address

308 N 24TH St
Rogers, AR 72756-3295
Phone (844) 439-7627

National Provider Directory

National Provider Directory
Tax ID family
Eaglecrest Recovery LLC6 organizations share this tax ID, including this one
Part of
Eaglecrest Recovery LLC

Other organizations with this tax ID 5

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

Locations

308 N 24th St
Rogers, AR 72756
Phone (844) 439-7627

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1689522674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563295",
            "telephone_number": "844-439-7627",
            "fax_number": "479-367-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563295",
            "telephone_number": "844-439-7627",
            "fax_number": "479-367-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLECREST RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLECREST RECOVERY LLC",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-813-5161",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.