Embodied Recovery, LLC
Embodied Recovery, LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Los Gatos, CA, holding Type 2 (organization) NPI 1154889079 since 2019. The authorized official on file is Michael Nolan, President, Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154889079 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Embodied Recovery, LLC |
| Practice address | 20 S SANTA CRUZ AVE STE 319, Los Gatos, CA, 95030 |
| Phone | 8883723610 |
| Enumeration date | 2019-03-10 |
| Last updated in NPPES | 2020-08-26 |
Authorized official
| Name | Michael Nolan |
|---|---|
| Title | President, Coo |
| Phone | 4087054598 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A011980315 | Other | CA | CCAPP |
| 97049 | Other | CA | BBS |
Copy-ready billing details
Provider: Embodied Recovery, LLC NPI: 1154889079 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 20 S SANTA CRUZ AVE STE 319, Los Gatos, CA, 95030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104370006 | Tengfei Li | Individual | Marriage & Family Therapist | Los Gatos, CA |
| 1528671161 | Embodied Recovery, LLC | Organization | Adult Mental Health Clinic/Center | Los Gatos, CA |
| 1407669278 | Timothy Van Den Berg | Individual | Addiction (Substance Use Disorder) Counselor | Los Gatos, CA |
| 1831902501 | Donna Vorst | Individual | Addiction (Substance Use Disorder) Counselor | Los Gatos, CA |
Verify this record
Cross-check NPI 1154889079 against the authoritative CMS record: view Embodied Recovery, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Embodied Recovery, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-26.