Organization Active NPI

Evoke Recovery LLC

Doing business as Evoke Counseling Facility

  • Community/Behavioral Health Agency
  • Chandler, AZ
National Provider Identifier
1821851411
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVOKE RECOVERY LLC
Doing business as
Evoke Counseling Facility
Practice address
1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162
Phone
(480) 257-0656
NPI assigned
Feb 5, 2024
Organization subpart
Yes
Parent organization
EVOKE RECOVERY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Ericka Valdez, MS, LPCNPI 1215565759
Title
Owner, Clinical Director
Phone
(480) 257-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162

Mailing address

630 E Deer Creek Rd
Phoenix, AZ 85048-0196
Phone (480) 257-0656

Other names 1

  • Evoke Counseling Facility Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528000150 AZ Part B Supplier - Clinic/Group Practice 7719329408 Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory
Part of
Evoke Recovery LLC

Locations

1600 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 427-0122

1600 W Chandler Blvd
Ste 230
Chandler, AZ 85224
Phone (480) 257-0656

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1821851411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E DEER CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480196",
            "telephone_number": "480-257-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 230",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246162",
            "telephone_number": "480-257-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVOKE RECOVERY LLC",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-257-0655",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evoke Counseling Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.

Verify at the official NPI Registry.