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PHOENIX RISE
NPI 1922559624
Community/Behavioral Health in Phoenix, AZ

Active since October 18, 2016CLIA 03D2157684 · Waiver
1125 W JACKSON ST, PHOENIX, AZ 85007(480) 831-7566 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2023, Jul 14, 2022, Nov 28, 2018 and 2 more (5 updates tracked since 2016).

About Phoenix Rise NPPES

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

PHOENIX RISE (NPI 1922559624) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists John Hogeboom, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1922559624
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY BRIDGES, INC.
Location Address1125 W JACKSON STPhoenix, AZ 85007-3110
Mailing Address1855 W Baseline Rd, Ste. #101Mesa, AZ 85202-9000 · (480) 831-7566 · Fax (480) 831-7563
Phone(480) 831-7566
Organization SubpartNo
Authorized OfficialJohn HogeboomPresident/ceo · (480) 831-7566
Enumeration DateOctober 18, 2016
Last NPPES UpdateJanuary 13, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1922559624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
1125 W JACKSON ST, Phoenix, AZ 85007
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Other Names 1

Doing Business AsPhoenix Rise

Other Identifiers 1

OtherOTC9247AZ · Adhs

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., Blue Cross Blue Shield of Arizona and more.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 03D2157684

Phoenix Rise · Phoenix, AZ
Active · expires Nov 8, 2026
CLIA Number03D2157684
Laboratory TypeOutpatient B.H.
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorEmily Koch
Laboratory Phone(480) 831-7566
Laboratory LocationPhoenix Rise1125 W Jackson Street, Phoenix, AZ 85007
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MAURA ALLEN LPC
Counselor (Professional)
1125 W JACKSON ST
PHOENIX, AZ 85007
Maricopa County (602) 407-6299
CIRCLE THE CITY
Clinic/Center (Federally Qualified Health Center (FQHC))
1125 W JACKSON ST
PHOENIX, AZ 85007
Maricopa County (602) 776-0776
LISA RENEE CHANDLER LCSW
Social Worker (Clinical)
1125 W JACKSON ST
PHOENIX, AZ 85007
Maricopa County (480) 392-7630

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 Community Bridges, Inc.'s NPI number?

The NPI number for Community Bridges, Inc. is 1922559624. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as Phoenix Rise.

Where is Community Bridges, Inc. located?

Community Bridges, Inc. is located at 1125 W Jackson St, Phoenix, AZ 85007. The listed phone number is (480) 831-7566.

What is Community Bridges, Inc.'s specialty?

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

Does Community Bridges, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2157684) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Bridges, Inc. accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Community Bridges, Inc. 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 Community Bridges, Inc. was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.