PHOENIX RISING THERAPY, LLC (NPI# 1235740929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235740929 |
| Entity Type | Organization |
| Organization Name | PHOENIX RISING THERAPY, LLC |
| Practice Address |
180 W 12th Ave Eugene OR 97401-3435 |
| Practice Telephone | 5413210788 |
| Practice Fax Number | 5412759940 |
| Mailing Telephone | 5413210788 |
| Mailing Fax Number | 5412759940 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | DR. CARA FREUDENBERG (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5413210788 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1053700559 | 01 | |
| OR | 500757076 | 05 |
| Other Name | Type Code |
|---|---|
| Phoenix Rising Therapy, LLC | Former Legal Business Name - Organization |
| Street Address |
180 W 12TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356536155 | Kathryn Simpson Snell-ryan | Counselor | 180 W 12th Ave, Eugene, OR 97401 | 2007-09-14 |
| 1053700559 | Cara Michelle Freudenberg | Psychologist | 180 W 12th Ave, Eugene, OR 97401-3435 | 2015-01-21 |
| 1548526643 | Stefan Pasymowski | Marriage & Family Therapist | 180 W 12th Ave, Eugene, OR 97401-3435 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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 |
|---|---|---|---|---|
| 1124637236 | Inner Light Counseling & Bodywork LLC | Clinic/Center | 2520 Chaucer Ct, Eugene, OR 97405-1217 | 2020-07-24 |
| 1326661448 | Kgk Therapeutic Services | Clinic/Center | 1138 Jefferson St, Eugene, OR 97402-5246 | 2020-05-22 |
| 1336786730 | Sarah Kaufman Counseling | Clinic/Center | 492 E 13th Ave Ste 210, Eugene, OR 97401-4268 | 2019-12-04 |
| 1851565493 | Oregon Health and Science University | Clinic/Center | 944 W 5th Ave, Eugene, OR 97402-5106 | 2008-04-15 |
| 1508470915 | Dan Schmitt Therapy | Clinic/Center | 541 Willamette St Ste 301, Eugene, OR 97401-2692 | 2020-09-02 |
| 1073139903 | Shine Counseling, LLC | Clinic/Center | 826 Virgil Ave, Eugene, OR 97404-2731 | 2020-06-16 |
| 1801424262 | A Healing Place, LLC | Clinic/Center | 1400 High St, Eugene, OR 97401-4192 | 2020-03-31 |
| 1720612963 | Rebecca S Fuller Ma, Lpc | Clinic/Center | 132 E Broadway Ste 301, Eugene, OR 97401-3154 | 2020-02-26 |
| 1619500469 | Annelise Heitman LLC | Clinic/Center | 328 W Broadway, Eugene, OR 97401-2826 | 2020-02-20 |
| 1609416981 | Jessica Crowder LLC | Clinic/Center | 1274 W 7th Ave Ste 204, Eugene, OR 97402-4523 | 2020-01-14 |
| Find all providers in EUGENE | ||||
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| 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.