Achieve Residential Living

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ACHIEVE RESIDENTIAL LIVING

Practice address

9375 E Dallas St
Mesa, AZ 85207-6114

Phone

(928) 238-0156

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aubrey Rae Laird, LACNPI 1043844632

Title

Owner

Phone

(928) 238-0156

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aubrey Rae Laird, LAC

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1043844632
  NPD Authorized official

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1932862729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8759 E KIVA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095312",
            "telephone_number": "928-238-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 E DALLAS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076114",
            "telephone_number": "928-238-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE RESIDENTIAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-238-0156",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.