PHOENIX HOUSES OF THE MID ATLANTIC, INC. (NPI# 1700285087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700285087 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSES OF THE MID ATLANTIC, INC. |
| Other Organization Name | PHOENIX HOUSE COUNSELING CENTER - GLEBE |
| Practice Address |
200 N Glebe Rd Suite 104 Arlington VA 22203-3728 |
| Practice Telephone | 7038410703 |
| Practice Fax Number | 7032430975 |
| Mailing Telephone | 7038410703 |
| Mailing Fax Number | 7032430975 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | MS. SUSAN HARGREAVES (VICE PRESIDENT / DIRECTOR OF FINANC) |
| Authorized Official Telephone | 7038410703 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX HOUSE FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 122-02-001, 021& | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004945051 | 05 | |
| VA | NPI | 1558415968 | 01 |
| Other Name | Type Code |
|---|---|
| Phoenix House Counseling Center - Glebe | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871995126 | Phoenix Houses of The Mid Atlantic, Inc. | Substance Abuse Rehabilitation Facility | 4317 6th St S, Confidential Address for Safety Reasons Do Not Publish, Arlington, VA 22204-1411 | 2014-09-18 |
| 1023417086 | Phoenix Houses of The Mid Atlantic, Inc. | Substance Abuse Rehabilitation Facility | 3100 Arlington Blvd, Arlington, VA 22204-1816 | 2014-08-15 |
| 1558415968 | Phoenix Houses of The Mid Atlantic, Inc. | Counselor | 521 N. Quincy Street, Arlington, VA 22203 | 2007-01-22 |
| 1861893703 | Phoenix Houses of The Mid Atlantic, Inc. | Community/Behavioral Health | 514 Crain Hwy N, Suite B, Glen Burnie, MD 21061-3063 | 2014-09-10 |
| Street Address |
200 N GLEBE RD SUITE 104 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22203-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649227521 | Sumi Sexton | Family Medicine | 200 N Glebe Rd, Ste 300, Arlington, VA 22203-3728 | 2006-05-27 |
| 1679172308 | Amber Chamberlain | Counselor | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2020-10-23 |
| 1962911545 | Margaret Todd Marcey | Social Worker | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2017-09-26 |
| 1972039808 | Spencer Philips | Physical Therapist | 200 N Glebe Rd, 310, Arlington, VA 22203-3728 | 2017-05-11 |
| 1366976532 | Ashley Fisher | Physical Therapy Assistant | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2017-04-14 |
| 1417408550 | Jason N Steele | Counselor | 200 N Glebe Rd, Suite 250, Arlington, VA 22203-3728 | 2016-10-24 |
| 1750836094 | Sarah June Carroll | Marriage & Family Therapist | 200 N Glebe Rd, Suite 250, Arlington, VA 22203-3728 | 2016-08-16 |
| 1134577737 | Cody Meashaw | Physical Therapist | 200 N Glebe Rd, Suite 310, Arlington, VA 22203-3728 | 2016-05-25 |
| 1942691993 | Ana Graciela Ortiz | Social Worker | 200 N Glebe Rd, Suite 506, Arlington, VA 22203-3728 | 2015-02-12 |
| 1497164818 | Phoenix House | Residential Treatment Facility, Emotionally Disturbed Children | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2014-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1174016190 | Bilal Rasool Chaudhry | Dentist | 801 N Quincy St Ste 110, Arlington, VA 22203 | 2018-06-13 |
| 1861993479 | Ballston Dental Arts, Pllc | Dentist | 900 N Taylor Street #150, Arlington, VA 22203 | 2018-02-28 |
| 1790293256 | Hawah Yahoh Conteh | Occupational Therapist | 900 North Taylor Street, Arlington, VA 22203 | 2018-01-18 |
| 1992237911 | Annyck Besso | Dietitian, Registered | 4250 Fairfax Dr Ste 600, Arlington, VA 22203 | 2017-03-29 |
| 1093267221 | Wilhelmina Dres | Physical Therapy Assistant | 3821 Wilson Blvd., Arlington, VA 22203 | 2016-11-04 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1013313501 | Michelle May | Counselor | 4601 N Fairfax Dr, Suite 1200, Arlington, VA 22203 | 2014-11-10 |
| 1346685567 | Maggie Lyles | Family Medicine | 200 N Glebe Rd Ste 300, Arlington, VA 22203 | 2013-05-01 |
| Find all providers in zip 22203 | ||||
| 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.