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EMBODIED RECOVERY, LLC
NPI 1154889079
Clinic/Center - Rehabilitation, Substance Use Disorder in Los Gatos, CA

Active since March 10, 2019
20 S SANTA CRUZ AVE STE 319, LOS GATOS, CA 95030(888) 372-3610 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2020, Mar 10, 2019 (2 updates tracked since 2019).

About Embodied Recovery, Llc NPPES

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

EMBODIED RECOVERY, LLC (NPI 1154889079) is a healthcare organization registered as a rehabilitation, substance use disorder in Los Gatos, California and active in the NPI registry since March 2019. The organization lists Michael Nolan, President, Coo, as its authorized official.

NPPES Registry Identity

NPI1154889079
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEMBODIED RECOVERY, LLC
Location Address20 S SANTA CRUZ AVE STE 319Los Gatos, CA 95030-6834
Mailing Address20 S Santa Cruz Ave Ste 319Los Gatos, CA 95030-6834 · (888) 372-3610
Phone(888) 372-3610
Organization SubpartNo
Authorized OfficialMichael NolanPresident, Coo · (408) 705-4598
Enumeration DateMarch 10, 2019
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1154889079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
20 S SANTA CRUZ AVE STE 319, Los Gatos, CA 95030
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Other Identifiers 2

Other97049CA · Bbs
OtherA011980315CA · Ccapp

Other Providers at the Same Location NPPES 4

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

TENGFEI LI
Marriage & Family Therapist
20 S SANTA CRUZ AVE STE 319
LOS GATOS, CA 95030
Santa Clara County (408) 688-2419
TIMOTHY VAN DEN BERG RADT
Counselor (Addiction (Substance Use Disorder))
20 S SANTA CRUZ AVE STE 319
LOS GATOS, CA 95030
Santa Clara County (408) 391-7730
EMBODIED RECOVERY, LLC
Clinic/Center (Adult Mental Health)
20 S SANTA CRUZ AVE STE 319
LOS GATOS, CA 95030
Santa Clara County (888) 372-3610
DONNA VORST
Counselor (Addiction (Substance Use Disorder))
20 S SANTA CRUZ AVE STE 319
LOS GATOS, CA 95030
Santa Clara County (510) 206-8617

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 Embodied Recovery, LLC's NPI number?

The NPI number for Embodied Recovery, LLC is 1154889079. It was assigned to this organization in the NPPES registry on March 10, 2019.

Where is Embodied Recovery, LLC located?

Embodied Recovery, LLC is located at 20 S Santa Cruz Ave Ste 319, Los Gatos, CA 95030. The listed phone number is (888) 372-3610.

What is Embodied Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Embodied Recovery, LLC was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.