A PHOENIX RISING, LLC (NPI# 1033736699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033736699 |
| Entity Type | Organization |
| Organization Name | A PHOENIX RISING, LLC |
| Other Organization Name | A PHOENIX RISING, LLC |
| Practice Address |
731 N Weber St Ste 211 Colorado Springs CO 80903-1019 |
| Mailing Address |
3780 Knoll Ln Apt 22 Colorado Springs CO 80917-8572 |
| Practice Telephone | 7194211235 |
| Mailing Telephone | 7194211235 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MR. XANDER J BURGESS (COUNSELOR) |
| Authorized Official Telephone | 7194211235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| A Phoenix Rising, LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3780 Knoll Ln Apt 22, Colorado Springs, CO 809178572 | 7194211235 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | A Phoenix Rising, LLC | 3780 Knoll Lane Apt 22, Colorado Springs, CO 80917 |
| Street Address |
731 N WEBER ST STE 211 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
| 1538777610 | Abbey Westphal Lcsw Inc | Clinic/Center | 6270 Lehman Dr Ste 280, Colorado Springs, CO 80918-1446 | 2020-07-15 |
| 1376178517 | Alston Counseling Services LLC | Clinic/Center | 1255 Lake Plaza Dr Ste 115, Colorado Springs, CO 80906-3541 | 2020-03-09 |
| 1194366153 | Reaching Hands As Each One Teachings One | Clinic/Center | 4720 Galley Rd, Colorado Springs, CO 80915-2735 | 2019-10-01 |
| 1972166080 | Inner Hope Therapy | Clinic/Center | 2970 N. Academy Blvd. Suite 206, Colorado Springs, CO 80917-8091 | 2019-04-16 |
| 1790141984 | Family Care Center LLC | Clinic/Center | 2860 S Circle Dr Ste 109, Colorado Springs, CO 80906-4195 | 2016-01-05 |
| 1992752133 | Cedar Springs Hospital, Inc | Clinic/Center | 2135 Southgate Rd, Colorado Springs, CO 80906-2605 | 2006-05-30 |
| 1467079053 | Convenient Colorado Counseling LLC | Clinic/Center | 5155 Laredo Ridge Dr, Colorado Springs, CO 80922-2222 | 2020-06-29 |
| 1487277471 | Hope Mountain Behavioral Health | Clinic/Center | 1802 Chapel Hills Dr Ste A, Colorado Springs, CO 80920-3736 | 2020-05-25 |
| 1639701873 | The Divine Therapy and Wellness Center | Clinic/Center | 5376 Tomah Dr Ste 210, Colorado Springs, CO 80918-6968 | 2020-02-05 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on A PHOENIX RISING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.