Individual provider Active NPI

Richard F Cadogan II, MA, LPC, NCC

  • Mental Health Counselor
  • Avondale, AZ
National Provider Identifier
1972249902
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20787 Issued in AZ
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

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-20787 AZ Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LPC-20787AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince May 20, 2024 Accepting new patients
Soul Purpose Transitional Home LLC CurrentSince Jul 3, 2022 Accepting new patients
Maricopa County Special Health Care District Single Specialty Current Accepting new patients
Maricopa County Special Health Care District CurrentSince May 20, 2024 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.

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

Verify at the official NPI Registry.