Active NPI
Richard F Cadogan II, MA, LPC, NCC
- Mental Health Counselor
- Avondale, AZ
National Provider Identifier
1972249902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-20787
- Practice address
- 950 E Van Buren St
Avondale, AZ 85323-1506 - Phone
- (833) 855-9975
- Fax
- (623) 344-6801
- NPI assigned
- May 11, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-20787 | AZ | Primary |
| Professional Counselor | 101YP2500X | LPC-20787 | AZ |
Addresses
Primary practice location
950 E Van Buren St
Avondale, AZ 85323-1506
Mailing address
PO Box 8612
Surprise, AZ 85374-0126
Phone (480) 225-4044
Other practice location 1
30041 W Earll Dr
Buckeye, AZ 85396-3178
Phone (480) 225-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240603001564 | AZ | Practitioner - Mental Health Counselor | 8325580681 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-20787 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| Soul Purpose Transitional Home LLC | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Single Specialty | Current | Accepting new patients |
| Maricopa County Special Health Care District | Current | Accepting new patients |
Locations
950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800
8088 W Whitney Dr
Ste 2A
Peoria, AZ 85345
Phone (833) 855-9973
33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
AZ, Single Specialty
-
- Mental Illness Community Based Residential Treatment Facility
- Buckeye, AZ
- NPI 1114659596
-
- Adult Mental Health Clinic/Center
- Mesa, AZ
- NPI 1003273855
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1972249902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8612",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853740126",
"telephone_number": "480-225-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E VAN BUREN ST",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853231506",
"telephone_number": "833-855-9975",
"fax_number": "623-344-6801"
}
],
"practiceLocations": [
{
"address_1": "30041 W Earll Dr",
"address_purpose": "LOCATION",
"city": "Buckeye",
"state": "AZ",
"postal_code": "853963178",
"country_code": "US",
"telephone_number": "480-225-4044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CADOGAN",
"first_name": "RICHARD",
"middle_name": "F",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-20787",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-20787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.