PHOENIX COUNSELING CENTER (NPI# 1396845004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396845004 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING CENTER |
| Practice Address |
322 Mcbee St Lincolnton NC 28092-2819 |
| Mailing Address |
631 Brawley School Rd Suite 407 Pmb 207 Mooresville NC 28117-6204 |
| Practice Telephone | 7042409453 |
| Practice Fax Number | 7042404603 |
| Mailing Telephone | 7043604531 |
| Mailing Fax Number | 7043602544 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MR. KEVIN PAUL OLIVER (DIRECTOR) |
| Authorized Official Telephone | 7044910829 |
| Authorized Official Credential | M.A., MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MHL-036-214 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
NC | Behavioral Health & Social Service Providers | |
| N | 251B00000X | Case Management | MHL 036-214 | NC | Agencies |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-036-214 | NC | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | MHL-036-214 | NC | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | MHL 036-21 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301469 | 05 | |
| NC | 8301469G | 05 | |
| NC | 6005727 | 05 | |
| NC | 8301469B | 05 | |
| NC | 8301469Q | 05 | |
| NC | 8301469P | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2505 Court Dr, Gastonia, NC 280542140 | 7048618014 | |
| 311 Mcbee St, Lincolnton, NC 280922818 | 7047320018 | |
| 510 S Aspen St, Lincolnton, NC 280922735 | 7047357325 | 7047357370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679937932 | Phoenix Counseling Center | Counselor | 609 E Center Ave, Mooresville, NC 28115-2547 | 2016-04-12 |
| 1902074768 | Phoenix Counseling Center | Counselor | 510 S Aspen St, Lincolnton, NC 28092-2735 | 2008-02-14 |
| 1831377563 | Phoenix Counseling Center | Counselor | 200 S Post Rd Ste 2, Shelby, NC 28152-6270 | 2008-02-05 |
| 1326451865 | Phoenix Counseling Center | Community/Behavioral Health | 631 Brawley School Rd, Suite 200b Pmb 301, Mooresville, NC 28117-6204 | 2014-06-03 |
| 1366854911 | Phoenix Counseling Center | Community/Behavioral Health | 350 E Parker Rd, Suite 101, Morganton, NC 28655-5155 | 2014-05-29 |
| 1487991279 | Phoenix Counseling Center | Community/Behavioral Health | 2505 Court Dr, Gastonia, NC 28054-2140 | 2013-01-14 |
| 1548555873 | Phoenix Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 609 N Washington St, Shelby, NC 28150-3810 | 2011-06-15 |
| 1154621134 | Phoenix Counseling Center | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2010-10-25 |
| 1598074841 | Phoenix Counseling Center | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2010-10-05 |
| 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 |
322 MCBEE ST |
| City | LINCOLNTON |
| State | NC |
| Zip Code | 28092-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205094349 | Surrender House of Lincolnton, Inc | Substance Abuse Rehabilitation Facility | 322 Mcbee St, Lincolnton, NC 28092-2819 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194373332 | Steven Garrett Werkman | Dentist | 1432 E. Main St, Lincolnton, NC 28092 | 2019-08-30 |
| 1194288746 | Karl Stanley Espanola Baquiran | Physical Therapist | 815 N. Generals Blvd, Suite D, Lincolnton, NC 28092 | 2019-04-10 |
| 1699268565 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092 | 2018-06-14 |
| 1568959385 | Shalini Tailor | Dentist | 1432 E Main Street, Lincolnton, NC 28092 | 2018-04-17 |
| 1053760942 | Comprehab Inc | Clinic/Center | 18 North Generals Blvd., Lincolnton, NC 28092 | 2016-06-10 |
| 1013389816 | Joshua Tallent | Counselor | 701 S Laurel St Ste 3, Lincolnton, NC 28092 | 2015-10-20 |
| 1619352838 | Tamara Michelle Bivins Vead | Physical Therapist | 1244 North Flint St., Suite 5, Lincolnton, NC 28092 | 2015-07-29 |
| 1861802555 | Jessica Bookbinder Rhodes | Obstetrics & Gynecology | 447 Mcalister Rd Ste 3500, Lincolnton, NC 28092 | 2014-05-02 |
| 1467791186 | Kelly Louise Charles | Social Worker | 2589 E Main St Ste 102, Lincolnton, NC 28092 | 2013-02-01 |
| 1720330491 | Lincoln County | Non-emergency Medical Transport (VAN) | 1323 Gaston St, Lincolnton, NC 28092 | 2012-10-05 |
| Find all providers in zip 28092 | ||||
| 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 |
|---|---|---|---|---|
| 1730460460 | Rha Health Services Nc, LLC | Community/Behavioral Health | 317 Turner St, Lincolnton, NC 28092-4076 | 2011-09-08 |
| 1285915918 | Rha Health Services Nc, LLC | Community/Behavioral Health | 355 Turner St, Lincolnton, NC 28092-4076 | 2011-09-08 |
| 1285915900 | Rha Health Services Nc, LLC | Community/Behavioral Health | 214 Crescent Ct, Lincolnton, NC 28092-2510 | 2011-09-08 |
| 1649551375 | Rha Health Services Nc, LLC | Community/Behavioral Health | 166 Massapoag Rd, Lincolnton, NC 28092-2525 | 2011-09-08 |
| 1821379553 | Rha Health Services Nc, LLC | Community/Behavioral Health | 202 Massapoag Rd, Lincolnton, NC 28092-2527 | 2011-09-08 |
| 1558642280 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1252 Georgetown Rd, Lincolnton, NC 28092-8940 | 2011-09-08 |
| 1568602746 | Virtue, Inc. | Community/Behavioral Health | 3387 E Highway 150, Lincolnton, NC 28092-8144 | 2009-02-27 |
| 1609036615 | Shepherd Equine Assisted Therapy | Community/Behavioral Health | 1037 Sain Rd, Lincolnton, NC 28092-1768 | 2008-06-12 |
| 1376726083 | The Shepherds Ranch, Inc. | Community/Behavioral Health | 113 S Oak St, Lincolnton, NC 28092-3400 | 2007-12-17 |
| 1396273140 | Nsc Behavioral Concepts, LLC | Community/Behavioral Health | 1047 Gaston St, Lincolnton, NC 28092-3725 | 2017-05-24 |
| Find all providers in LINCOLNTON | ||||
| City | LINCOLNTON |
| Zip Code | 28092 |
Please comment or provide details below to improve the information on PHOENIX COUNSELING CENTER.
| 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.