Organization Active NPI

Mojave Center for Recovery PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
National Provider Identifier
1972259976
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MOJAVE CENTER FOR RECOVERY PLLC
Practice address
5847 S 16TH St
Phoenix, AZ 85040-3512
Phone
(480) 788-2324
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Erica Hargrave, DC
Title
Owner
Phone
(480) 788-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

5847 S 16TH St
Phoenix, AZ 85040-3512

Mailing address

22719 S Ellsworth Rd Ste 104
Queen Creek, AZ 85142-6128

National Provider Directory

National Provider Directory

Locations

22719 S Ellsworth Rd
Ste 104
Queen Creek, AZ 85142
Phone (408) 788-3424

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1972259976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22719 S ELLSWORTH RD STE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 S 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850403512",
            "telephone_number": "480-788-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE CENTER FOR RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-27",
        "status": "A",
        "authorized_official_last_name": "HARGRAVE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-788-3424",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.