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CODAC HEALTH RECOVERY AND WELLNESS
NPI 1033156567
Community/Behavioral Health in Tucson, AZ

Active since June 01, 2006CLIA 03D2047272 · Waiver
4585 E SPEEDWAY BLVD, TUCSON, AZ 85712(520) 327-4505(520) 202-1889 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Codac Health Recovery And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODAC HEALTH RECOVERY AND WELLNESS (NPI 1033156567) is a healthcare organization registered as a community/behavioral health in Tucson, Arizona and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Dennis Regnier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033156567
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCODAC HEALTH RECOVERY AND WELLNESS
Location Address4585 E SPEEDWAY BLVDTucson, AZ 85712
Mailing AddressDept 880460, Po Box 29650Phoenix, AZ 85038 · (520) 327-4505 · Fax (520) 202-1889
Phone(520) 327-4505
Fax(520) 202-1889
Organization SubpartNo
Authorized OfficialDennis RegnierCeo · (520) 327-4505
Enumeration DateJune 1, 2006
Last NPPES UpdateApril 22, 2025
✔ NPI 1033156567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4585 E SPEEDWAY BLVD, Tucson, AZ 85712
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Other Names 1

Other NameCodac Administration

Other Identifiers 1

Medicaid214427AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2047272

Codac Health, Recovery & Wellness, Inc · Tucson, AZ
Active · expires Sep 19, 2026
CLIA Number03D2047272
Laboratory TypeComm Based Organization
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorSteven J. Bupp
Laboratory Phone(520) 327-4505
Laboratory LocationCodac Health, Recovery & Wellness, Inc4585 E Speedway Blvd, Tucson, AZ 85712
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
4585 E SPEEDWAY BLVD, BUILDING 2, STE P
TUCSON, AZ 85712
Pima County (520) 917-0129
CODAC HEALTH RECOVERY AND WELLNESS
Clinic/Center (Multi-Specialty)
4585 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 327-4505
LISA J-MARIE PLACENCIO LCSW
Social Worker (Clinical)
4585 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 327-4505
ANGEL MARTIN SOTO LCSW
Social Worker (Clinical)
4585 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 327-4505
AMANDA LEIGH KNOX
Counselor (Mental Health)
4585 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 327-4505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codac Health Recovery And Wellness's NPI number?

The NPI number for Codac Health Recovery And Wellness is 1033156567. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is also known as CODAC Administration.

Where is Codac Health Recovery And Wellness located?

Codac Health Recovery And Wellness is located at 4585 E Speedway Blvd, Tucson, AZ 85712. The listed phone number is (520) 327-4505.

What is Codac Health Recovery And Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Codac Health Recovery And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2047272) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Codac Health Recovery And Wellness accept?

Health plans from Ambetter from Arizona Complete Health and Antidote Health Plan of Arizona, Inc. list Codac Health Recovery And Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Codac Health Recovery And Wellness was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.