PHOENIX COUNSELING CENTER, INC. (NPI# 1376716571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376716571 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING CENTER, INC. |
| Practice Address |
149 S Main St Phoenix OR 97535 |
| Mailing Address |
Po Box 1257 Phoenix OR 97535 |
| Practice Telephone | 5415354133 |
| Practice Fax Number | 5415355458 |
| Mailing Telephone | 5415354133 |
| Mailing Fax Number | 5415355458 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2015-06-22 |
| Authorized Official Name | JACQUELINE LIEN (DIRECTOR) |
| Authorized Official Telephone | 5415354133 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NO NUMBER | OR | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PHOENIX COUNSELING CENTER, INCORPORATED | 149 S Main St, Phoenix, OR 97535 |
| Street Address |
149 S MAIN ST |
| City | PHOENIX |
| State | OR |
| Zip Code | 97535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110023 | Zhawen Wahpepah | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-07-02 |
| 1871110304 | Melissa Chapman | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-30 |
| 1679190565 | Sarah Grubbs | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-26 |
| 1881211696 | Mario Guzman | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-26 |
| 1144847039 | Trinity Okzana Leonis | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-26 |
| 1386284685 | Alysse Lynette Kelly | Peer Specialist | 149 S Main St, Phoenix, OR 97535-6631 | 2020-01-14 |
| 1558905000 | Dirk William Stafford | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-10-28 |
| 1851934533 | Holly Ivie | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-10-24 |
| 1275176398 | Emily E Hinman | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-10-21 |
| 1225687668 | Mary Kate Regan | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318577 | Brent M Gordon | Counselor | 5505 S Pacific Hwy, Phoenix, OR 97535 | 2016-03-16 |
| 1740649821 | Elizabeth Van Driel | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2016-02-17 |
| 1740611458 | William Allen Haden Jr. | Social Worker | 106 N. Rose Street, Phoenix, OR 97535 | 2013-12-05 |
| 1528396470 | Sarah Bly | Midwife, Lay | 509 5th St., Phoenix, OR 97535 | 2009-12-03 |
| 1992961239 | Stephen J Brummett | Counselor | 482 Elm St, Phoenix, OR 97535 | 2008-08-06 |
| 1568680577 | Christine Carolyn Robinson | Chiropractor | 721 N. Main St., Space A, Phoenix, OR 97535 | 2007-04-23 |
| 1982729539 | Daniel Jansen | Counselor | 215 N Rose St, Phoenix, OR 97535 | 2007-03-20 |
| 1770196016 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 106 N. Rose Street, Phoenix, OR 97535 | 2020-08-26 |
| 1760972160 | Jennifer L Burke | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2018-05-11 |
| 1124552872 | Desiree Thompson | Counselor | 149 N Main St, Phoenix, OR 97535 | 2017-04-19 |
| Find all providers in zip 97535 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| 1043827561 | Crossroads, Inc | Community/Behavioral Health | 2002 E Osborn Rd, Phoenix, AZ 85016-7236 | 2020-09-29 |
| 1043827025 | Guiding Steps Health Services, LLC | Community/Behavioral Health | 4926 E Mcdowell Rd, Phoenix, AZ 85008-4294 | 2020-09-24 |
| 1154931566 | Apex Transitional Housing Inc | Community/Behavioral Health | 13827 N 11th St, Phoenix, AZ 85022-4316 | 2020-08-01 |
| 1356959126 | Rock House Az, LLC | Community/Behavioral Health | 8650 N 35th Ave Ste 110, Phoenix, AZ 85051-3835 | 2020-07-17 |
| 1215554902 | Lydia Barton | Community/Behavioral Health | 1420 W Missouri Ave, Phoenix, AZ 85013-1919 | 2020-06-29 |
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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.