Registry data as of Aug 27, 2026

Four Directions

Four Directions holds 12 active organization NPIs in the federal registry, with practice locations in 5 cities in 2 states. Each location can bill under its own NPI.

CMS NPPES registry, file of Aug 9, 2026 · legal names grouped after punctuation and "LLC" are removed · method · Verify with CMS →

Which NPI is yours?

Search the organization with your city to find the NPI for the location you visit or bill.

Find a location's NPI

Mesa, AZ has the most NPIs, 5

  1. Mesa, AZ5
  2. Maricopa, AZ4
  3. Clarkdale, AZ1
  4. Gilbert, AZ1
  5. Billings, MT1

Source: CMS NPPES monthly file of Aug 9, 2026, organization NPIs by practice city.

Most NPIs were issued in 2008 and 2011

Four Directions NPIs by year issued2008: 2, 2009: 0, 2010: 0, 2011: 4, 2012: 1, 2013: 1, 2014: 0, 2015: 0, 2016: 0, 2017: 0, 2018: 2, 2019: 1, 2020: 0, 2021: 0, 2022: 0, 2023: 0, 2024: 0, 2025: 1012342009201120132015201720192021202320252008: 2411211
Four Directions NPIs by year issued2008: 2, 2009: 0, 2010: 0, 2011: 4, 2012: 1, 2013: 1, 2014: 0, 2015: 0, 2016: 0, 2017: 0, 2018: 2, 2019: 1, 2020: 0, 2021: 0, 2022: 0, 2023: 0, 2024: 0, 2025: 1012342008200920102011201220132014201520162017201820192020202120222023202420252411211
Four Directions NPIs by year issued2008: 2, 2009: 0, 2010: 0, 2011: 4, 2012: 1, 2013: 1, 2014: 0, 2015: 0, 2016: 0, 2017: 0, 2018: 2, 2019: 1, 2020: 0, 2021: 0, 2022: 0, 2023: 0, 2024: 0, 2025: 1012342009201120132015201720192021202320252008: 2411211

Source: CMS NPPES, enumeration dates.

4 NPIs were issued in 2011 alone, more than in any other year; none in 11 of the years between.

Mesa, AZ locations

The city with the most Four Directions NPIs. The full list of all 12 follows.

NPILocationPrimary taxonomyIssued
12050049912248 N ASHBROOK CIR, Mesa, AZRespite CareFeb 14, 2008
18616587008149 E POSADA AVE, Mesa, AZRespite CareJul 30, 2008
169906055833 N PARSELL, Mesa, AZCommunity/Behavioral Health AgencyJun 17, 2011
18516880228142 E PLATA AVE, Mesa, AZRespite CareJul 7, 2011
13961776148149 E POSADA AVE, Mesa, AZMental Illness Community Based Residential Treatment FacilityAug 9, 2013
All 12 locations, by state and city
NPILocationPrimary taxonomyIssued
1972898831540 E RAVEN HILL RD, Clarkdale, AZRespite CareJun 17, 2011
19122639971450 W GUADALUPE RD STE 132, Gilbert, AZCommunity/Behavioral Health AgencyApr 4, 2012
172036215541545 W ANNE LN, Maricopa, AZRespite CareOct 4, 2011
186190965743989 W WADE DRIVE, Maricopa, AZChild Mental Illness Respite CareJan 3, 2018
141743038041545 W ANNE LN, Maricopa, AZMental Illness Community Based Residential Treatment FacilitySep 7, 2018
190246356537724 W AMALFI AVE, Maricopa, AZChild Mental Illness Respite CareMay 20, 2019
12050049912248 N ASHBROOK CIR, Mesa, AZRespite CareFeb 14, 2008
18616587008149 E POSADA AVE, Mesa, AZRespite CareJul 30, 2008
169906055833 N PARSELL, Mesa, AZCommunity/Behavioral Health AgencyJun 17, 2011
18516880228142 E PLATA AVE, Mesa, AZRespite CareJul 7, 2011
13961776148149 E POSADA AVE, Mesa, AZMental Illness Community Based Residential Treatment FacilityAug 9, 2013
18713080722048 OVERLAND AVE STE 102B, Billings, MTMental Health CounselorFeb 12, 2025

Related names

Checking an organization

  1. Match the NPI to the exact location you will visit or bill; each location can have its own.
  2. Confirm the business entity with the secretary of state.
  3. Check the HHS-OIG exclusion list for the organization and its owners.
  4. Verify each clinician you will see on their own record and with the state license search.

Common questions

Why does Four Directions have 12 NPIs?

An organization may obtain more than one Type 2 NPI, for example for separate locations or units that bill on their own. Four Directions's NPIs list practice locations in 5 cities.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.