Active NPI
Bryan Acosta, MS, LIAC
- Addiction (Substance Use Disorder) Counselor
- Laveen, AZ
National Provider Identifier
1811809726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LIAC-155408
- Practice address
- 17242 S Healthcare Dr
Laveen, AZ 85339-8501 - Phone
- (520) 796-3815
- NPI assigned
- Sep 17, 2026
- Last updated
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LIAC-155408 | AZ | Primary |
Addresses
Primary practice location
17242 S Healthcare Dr
Laveen, AZ 85339-8501
Mailing address
11367 W Overlin Dr
Avondale, AZ 85323-1131
Phone (602) 465-9831
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1811809726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11367 W OVERLIN DR",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853231131",
"telephone_number": "602-465-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17242 S HEALTHCARE DR",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853398501",
"telephone_number": "520-796-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "BRYAN",
"credential": "MS, LIAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LIAC-155408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.