PHOENIX COUNSELING CENTER (NPI# 1902074768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902074768 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING CENTER |
| Practice Address |
510 S Aspen St Lincolnton NC 28092-2735 |
| Mailing Address |
631 Brawley School Rd Suite 200b, Pmb 301 Mooresville NC 28117-6204 |
| Practice Telephone | 7047357719 |
| Practice Fax Number | 7049213066 |
| Mailing Telephone | 7043604531 |
| Mailing Fax Number | 7043602544 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. KEVIN PAUL OLIVER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7044910829 |
| Authorized Official Credential | MA, MPA |
| 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 | ||
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 Mcbee St, Lincolnton, NC 280922818 | 7047320018 | 7042404603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679937932 | Phoenix Counseling Center | Counselor | 609 E Center Ave, Mooresville, NC 28115-2547 | 2016-04-12 |
| 1831377563 | Phoenix Counseling Center | Counselor | 200 S Post Rd Ste 2, Shelby, NC 28152-6270 | 2008-02-05 |
| 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 |
510 S ASPEN ST |
| City | LINCOLNTON |
| State | NC |
| Zip Code | 28092-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952774499 | Rennie Hunt | Counselor | 510 S Aspen St, Lincolnton, NC 28092-2735 | 2015-11-05 |
| 1013255652 | Laura L Carpenter | Counselor | 510 S Aspen St, Lincolnton, NC 28092-2735 | 2013-01-16 |
| 1568744431 | Deena Marie Taylor | Counselor | 510 S Aspen St, Lincolnton, NC 28092-2735 | 2011-09-15 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077145 | Eava, Inc | Counselor | 119 Fuchia Ln, Lincolnton, NC 28092-4287 | 2019-08-06 |
| 1275883316 | Support Incorporated | Counselor | 126 Performance Dr, Lincolnton, NC 28092-8543 | 2012-09-17 |
| 1396845004 | Phoenix Counseling Center | Counselor | 322 Mcbee St, Lincolnton, NC 28092-2819 | 2006-09-23 |
| 1952774499 | Rennie Hunt | Counselor | 510 S Aspen St, Lincolnton, NC 28092-2735 | 2015-11-05 |
| 1013255652 | Laura L Carpenter | Counselor | 510 S Aspen St, Lincolnton, NC 28092-2735 | 2013-01-16 |
| 1376789925 | Impact Carolina Services Inc. | Counselor | 106 Doctors Park, Lincolnton, NC 28092-4406 | 2009-01-05 |
| 1649439183 | Phoenix Counseling of Gaston Lincoln and Cleveland | Counselor | 341 E Main St, Suite 201, Lincolnton, NC 28092-3334 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1407456163 | Fallon Middle Williams | Counselor | 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 | 2020-10-30 |
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1962002931 | Mind Over Mood | Counselor | 115 Carlos Drive, Garysburg, NC 27831 | 2020-10-29 |
| 1528668043 | Hope and Wellness Counseling Pllc | Counselor | 4017 S Nc Highway 11, Wallace, NC 28466-6111 | 2020-10-26 |
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1588264006 | Jocelyn S Whitfield | Counselor | 1279 William Beale Rd, Pendleton, NC 27862-7015 | 2020-10-26 |
| 1225637796 | Cindy Verdoorn | Counselor | 10831 Pineville Rd Unit 9, Pineville, NC 28134-8137 | 2020-10-25 |
| 1700485430 | Travis William Richardson | Counselor | 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 | 2020-10-23 |
| 1952900615 | Eastern Trauma & Recovery Counseling Service | Counselor | 11814 Us 64a, Spring Hope, NC 27882-9637 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| 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.