Active NPI
Ria Flanagan, MA MFT, LISAC, CSAT
- Addiction (Substance Use Disorder) Counselor
- Goodyear, AZ
National Provider Identifier
1912317199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-15089
- Practice address
- 15655 W Roosevelt St Ste 223
Goodyear, AZ 85338-9306 - Phone
- (602) 698-8990
- Fax
- (602) 207-8989
- NPI assigned
- Apr 28, 2014
- Last updated
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-15089 | AZ | Primary |
| Mental Health Counselor | 101YM0800X | LISAC-15089 | AZ |
Addresses
Primary practice location
15655 W Roosevelt St Ste 223
Goodyear, AZ 85338-9306
Mailing address
15655 W Roosevelt St Ste 223
Goodyear, AZ 85338-9306
Phone (602) 698-8990
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-15089 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Up Recover, LLC | Current | Accepting new patients |
Locations
15655 W Roosevelt St
Ste 223
Goodyear, AZ 85338
Phone (602) 698-8990
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1912317199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15655 W ROOSEVELT ST STE 223",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389306",
"telephone_number": "602-698-8990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15655 W ROOSEVELT ST STE 223",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389306",
"telephone_number": "602-698-8990",
"fax_number": "602-207-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "RIA",
"credential": "MA MFT, LISAC, CSAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-15089",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LISAC-15089",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.