PHOENIX COUNSELING CENTER (NPI# 1831377563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831377563 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING CENTER |
| Practice Address |
200 S Post Rd Ste 2 Shelby NC 28152-6270 |
| Mailing Address |
631 Brawley School Rd Suite 200b Pmb301 Mooresville NC 28117-6204 |
| Practice Telephone | 7044764106 |
| Mailing Telephone | (704) 491-0829 |
| Mailing Fax Number | 7049213066 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. KEVIN PAUL OLIVER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7049213070 |
| Authorized Official Credential | MA, MPA |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX COUNSELING CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
NC | Behavioral Health & Social Service Providers | |
| N | 251B00000X | Case Management | NC | Agencies | |
| N | 251S00000X | Community/Behavioral Health | NC | Agencies | |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1831377563 | 05 | |
| NC | NPI | 1831377563 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 631 Brawley School Rd Ste 200b, Mooresville, NC 281176209 | (704) 491-0829 | 7049213066 |
| 917 1st St, Shelby, NC 281503958 | 7044764106 | 7044764021 |
| 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 |
| 1396845004 | Phoenix Counseling Center | Counselor | 322 Mcbee St, Lincolnton, NC 28092-2819 | 2006-09-23 |
| 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 |
200 S POST RD STE 2 |
| City | SHELBY |
| State | NC |
| Zip Code | 28152-6270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118794 | Kristie Lovelace | Social Worker | 200 S Post Rd Ste 2, Shelby, NC 28152-6270 | 2020-06-16 |
| 1144880006 | Emily Anne Lundy | Social Worker | 200 S Post Rd Ste 2, Shelby, NC 28152-6270 | 2019-06-13 |
| 1609271840 | Shayla Truett Horn | Counselor | 200 S Post Rd Ste 2, Shelby, NC 28152-6270 | 2014-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1902277981 | Angela Hamilton Jones | Social Worker | 1243 East Dixon Blvd., Suite 4, Shelby, NC 28152 | 2015-10-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1689086332 | Stanley Todd Bilin | Marriage & Family Therapist | 1243-4 East Dixon Blvd, Shelby, NC 28152 | 2014-05-29 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1659602928 | Katherine Ruthsatz Kjergaard | Physician Assistant | 105 East College Street, Shelby, NC 28152 | 2010-01-26 |
| 1407099229 | Cnc / Access, Inc. | Community/Behavioral Health | 1165 Country Home Road, Shelby, NC 28152 | 2009-04-09 |
| Find all providers in zip 28152 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999755 | Michael Lee Mason | Counselor | 2779 St. Rt. 39, Shelby, OH 44875 | 2018-04-17 |
| 1336646009 | Toia Branklin | Counselor | 2779 St Rt 39, Shelby, OH 44875 | 2018-04-10 |
| 1790200541 | Robin Lynn Laine | Counselor | 529 Park Ave, Shelby, MT 59474-2131 | 2017-08-12 |
| 1659895977 | Hope Billings | Counselor | 501 N Lafayette St, Shelby, NC 28150-4476 | 2017-07-28 |
| 1386179802 | Kenneth Young | Counselor | 169 Mansfield Ave, Shelby, OH 44875-1832 | 2017-04-21 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1851763957 | Kathy Sue Allen | Counselor | 941 E Marion St, Shelby, NC 28150-4740 | 2015-10-28 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1023250636 | Robert Andrew Mccully Jr. | Counselor | 1243 E Dixon Blvd, Shelby, NC 28152-6978 | 2009-03-27 |
| 1962653873 | Professional Care LLC | Counselor | 320 E Graham St, Suite 1, Shelby, NC 28150-5568 | 2008-10-09 |
| Find all providers in SHELBY | ||||
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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.