CANYON REPOSE LLC
CANYON REPOSE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1376420596, based in Phoenix, AZ. The organization lists 6 taxonomy classifications, with Mental Health Counselor recorded as primary.
Getting there
The practice address on file is 8102 N 23RD AVE STE B, Phoenix, AZ 85021. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor Mental Health | — | — | primary |
| 207R00000X | Internal Medicine Physician | — | — | |
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | — | — | |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | — | — | |
| 171M00000X | Case Manager/Care Coordinator | — | — | |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician Addiction Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1376420596 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 19, 2025 |
| Last updated | Sep 12, 2025 |
| Status | Active |
| Practice address |
8102 N 23RD AVE STE B Phoenix, AZ 85021 (602) 326-1828 |
| Mailing address |
205 E OSBORN RD # 101 Phoenix, AZ 85012 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 4 | 2 | 0 | 5 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 8 | 2 | 0 | 5 | 9 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.