PHOENIX ASSOCIATES COUNSELING SERVICES, INC. (NPI# 1629320478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629320478 |
| Entity Type | Organization |
| Organization Name | PHOENIX ASSOCIATES COUNSELING SERVICES, INC. |
| Practice Address |
801 Road To Six Flags W Ste 132 Arlington TX 76012-2600 |
| Mailing Address |
3001 W 5th St Suite A Fort Worth TX 76107-8900 |
| Practice Telephone | 8177953030 |
| Practice Fax Number | 8177953099 |
| Mailing Telephone | (817) 338-0311 |
| Mailing Fax Number | 8173329075 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | DAVID J CUDMORE (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Telephone | 8173380311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1656-3039 | TX | Ambulatory Health Care Facilities |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1656-3039 | TX | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 1656-3039 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 212971001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982836250 | Phoenix Associates Counseling Services, Inc. | Clinic/Center | 3001-a W 5th Street, Fort Worth, TX 76107-2200 | 2009-08-20 |
| Street Address |
801 ROAD TO SIX FLAGS W STE 132 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386157790 | Mark R Dehart | Counselor | 801 Road To Six Flags W Ste 132, Arlington, TX 76012-2600 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| 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 |
|---|---|---|---|---|
| 1033609136 | Roderick Duffey | Community/Behavioral Health | 2123 Ballycastle Dr, Arlington, TX 76017-4512 | 2018-05-14 |
| 1386145548 | Center for Theraputic Change | Community/Behavioral Health | 1101 W Randol Mill Rd, Arlington, TX 76012-2515 | 2018-02-23 |
| 1376083352 | Life We Deserve, LLC | Community/Behavioral Health | 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 | 2017-02-24 |
| 1427507722 | Azra Grudic Consulting and Counseling | Community/Behavioral Health | 3617 186th Pl Ne # 4a, Arlington, WA 98223-7928 | 2016-09-27 |
| 1578018073 | Arise Behavioral Health | Community/Behavioral Health | 1172 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2016-08-25 |
| 1306202411 | North Texas Community Initiative, Inc. | Community/Behavioral Health | 5811 Gloucester Ct, Suite 101, Arlington, TX 76018-2384 | 2016-01-05 |
| 1891168605 | Learning and Behavior | Community/Behavioral Health | 2023 21st St N Apt 25, Arlington, VA 22201-3650 | 2015-11-03 |
| 1750751434 | Midsouth Behavior Clinic | Community/Behavioral Health | 12482 Magnolia Bend Dr, Arlington, TN 38002-7046 | 2015-10-06 |
| 1700276375 | Epiphany Counseling Services | Community/Behavioral Health | 901 W Bardin Rd Ste 308, Arlington, TX 76017-6029 | 2015-02-03 |
| 1497169643 | Precious J and J Counseling and Associates | Community/Behavioral Health | 1619 W Division St, Suite E, Arlington, TX 76012-3832 | 2014-06-16 |
| Find all providers in ARLINGTON | ||||
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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.