PHOENIX RISING THERAPY CENTER (NPI# 1770142051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770142051 |
| Entity Type | Organization |
| Organization Name | PHOENIX RISING THERAPY CENTER |
| Practice Address |
2520 Saint Rose Pkwy Ste 221 Henderson NV 89074-7789 |
| Practice Telephone | 7023765842 |
| Mailing Telephone | 7023765842 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | GEMMA GRACE RIVERA (CO-FOUNDER) |
| Authorized Official Telephone | 7023796645 |
| Authorized Official Credential | LMFT, LCPC, LCAD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
2520 SAINT ROSE PKWY STE 221 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285858035 | Mishelle Segur | Counselor | 2520 Saint Rose Pkwy Ste 221, Henderson, NV 89074-7789 | 2007-04-12 |
| 1235666777 | Schatoya Rene Prince | Counselor | 2520 Saint Rose Pkwy Ste 221, Henderson, NV 89074-7789 | 2017-05-15 |
| 1114337813 | Gemma Rivera | Counselor | 2520 Saint Rose Pkwy Ste 221, Henderson, NV 89074-7789 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993533 | Sydney Denton Erskine | Marriage & Family Therapist | 2336 Rosendale Village Ave, Henderson, NV 89052-8731 | 2020-05-13 |
| 1669001558 | Kaitlin Andrewjeski | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201a, Henderson, NV 89052-2698 | 2020-04-03 |
| 1205460193 | Aubrey Wadman-goetsch | Marriage & Family Therapist | 2518 Anthem Village Dr Ste 103, Henderson, NV 89052-5554 | 2020-02-28 |
| 1699236190 | Samantha Margaret Bloom | Marriage & Family Therapist | 2920 N Green Valley Pkwy Ste 321, Henderson, NV 89014-0412 | 2019-03-27 |
| 1417417809 | Brynda Jena Cullison | Marriage & Family Therapist | 2501 N Green Valley Pkwy Bldg D, Henderson, NV 89014-0273 | 2019-03-21 |
| 1255896106 | Angel R Alonso | Marriage & Family Therapist | 2920 N Green Valley Pkwy Bldg 3-321, Henderson, NV 89014-0406 | 2019-02-05 |
| 1659840163 | Tamara James | Marriage & Family Therapist | 210 3rd St Ste 2, Henderson, KY 42420-2904 | 2018-11-14 |
| 1487121695 | Alexis Florence | Marriage & Family Therapist | 3041 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052-4444 | 2018-10-25 |
| 1235625500 | Timothy M Hubbard | Marriage & Family Therapist | 2501 N Green Valley Pkwy Ste 116118, Henderson, NV 89014-0273 | 2018-07-10 |
| 1700323896 | Cherelle Ola | Marriage & Family Therapist | 2824 Via Terra St, Henderson, NV 89074-1446 | 2017-01-26 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on PHOENIX RISING THERAPY 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.