Active NPI
Partners in Recovery, LLC
- Community/Behavioral Health Agency
- Lakeside, AZ
National Provider Identifier
1821702234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PARTNERS IN RECOVERY, LLC
- Practice address
- 5448 State Route 260
Suite 230
Lakeside, AZ 85929 - Phone
- (928) 725-5100
- NPI assigned
- Jan 10, 2023
- Organization subpart
- Yes
- Parent organization
- PARTNERS IN RECOVERY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Ann Barrett
- Title
- VP, Revenue Optimization
- Phone
- (480) 969-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5448 State Route 260
Suite 230
Lakeside, AZ 85929
Mailing address
924 N Country Club Dr
Mesa, AZ 85201-4108
Phone (480) 969-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100203000179 | AZ | Part B Supplier - Clinic/Group Practice | 9638212301 |
Receives reassigned benefits from 64 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wickenburg, AZ; Phoenix, AZ; Peoria, AZ; Lakeside, AZ; Glendale, AZ; Gilbert, AZ; Mesa, AZ |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Adult Mental Health Clinic/Center
- Peoria, AZ
- NPI 1124252127
O20100203000179
-
- Adult Mental Health Clinic/Center
- Wickenburg, AZ
- NPI 1205060100
O20100203000179
-
- Adult Mental Health Clinic/Center
- Gilbert, AZ
- NPI 1235363235
O20100203000179
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1548496706
O20100203000179
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1659623882
O20100203000179
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1659768570
O20100203000179
National Provider Directory
National Provider Directory- Tax ID family
- Partners in Recovery LLC
- Part of
- Partners in Recovery LLC
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Mesa, AZ
- NPI 1417749029
-
- Clinic/Center
- Phoenix, AZ
- NPI 1992656789
-
- Adult Mental Health Clinic/Center
- Peoria, AZ
- NPI 1124252127
-
- Clinic/Center
- Phoenix, AZ
- NPI 1184476962
-
- Adult Mental Health Clinic/Center
- Wickenburg, AZ
- NPI 1205060100
-
- Adult Mental Health Clinic/Center
- Gilbert, AZ
- NPI 1235363235
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1295510550
-
- Clinic/Center
- Phoenix, AZ
- NPI 1306698436
-
- Clinic/Center
- Phoenix, AZ
- NPI 1417709551
-
- Clinic/Center
- Gilbert, AZ
- NPI 1447002571
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1548496706
-
- Clinic/Center
- Tempe, AZ
- NPI 1598617425
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Lakeside, AZ
- NPI 1063736106
-
- Child & Adolescent Psychiatry Physician
- Mesa, AZ
- NPI 1386841252
-
- Nurse Practitioner
- Williams, AZ
- NPI 1275205254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1821702234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852014108",
"telephone_number": "480-969-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5448 STATE ROUTE 260",
"address_2": "SUITE 230",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "85929",
"telephone_number": "928-725-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS IN RECOVERY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARTNERS IN RECOVERY, LLC",
"enumeration_date": "2023-01-10",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "VP, REVENUE OPTIMIZATION",
"authorized_official_telephone_number": "480-969-3800"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeside, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.