Individual provider Active NPI

John C Flanagan

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1790455400
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LAC-22014 Issued in AZ
Practice address
6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155
Phone
(480) 418-4946
NPI assigned
Sep 14, 2021
Reactivated
Jan 27, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LAC-22014 AZ Primary
Peer Specialist 175T00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155

Mailing address

15410 N 2ND PL
Phoenix, AZ 85022-3043
Phone (602) 918-5953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-22014AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Boe CurrentSince Sep 23, 2021 Accepting new patients
Strong Pathways LLC Current Accepting new patients
Pathway Healing Center LLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

6751 N Sunset Blvd
Ste 320
Glendale, AZ 85305
Phone (346) 833-6064

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1790455400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 N 2ND PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223043",
            "telephone_number": "602-918-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053155",
            "telephone_number": "480-418-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "JOHN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "deactivation_date": "2026-01-06",
        "reactivation_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-22014",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.