PHOENIX COUNSELING CENTER (NPI# 1154621134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154621134 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING CENTER |
| Practice Address |
2505 Court Dr Gastonia NC 28054-2140 |
| Mailing Address |
6210 Robur Ct Charlotte NC 28269-1686 |
| Practice Telephone | 7048618014 |
| Mailing Telephone | 7042993879 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | TONCE VEREEN (CLINICIAN) |
| Authorized Official Telephone | 7042993879 |
| Authorized Official Credential | MA, LCAS-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1396845004 | 05 | |
| NC | 6005727 | 8301469 | 01 |
| 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 |
| 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 |
| 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 |
2505 COURT DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588633929 | Gaston-lincoln-cleveland Mental Health Substance Abuse Dd | Clinic/Center | 2505 Court Dr, Gastonia, NC 28054-2140 | 2006-03-17 |
| 1861002966 | Quentin Aaron Powell | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2020-08-04 |
| 1487270708 | Aliceia Duff | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2020-06-23 |
| 1164057303 | Arlene Blake Govan | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2020-03-09 |
| 1356902886 | Ronald Peter Bellows | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2019-06-25 |
| 1649747809 | Brittany Foxx | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2018-10-25 |
| 1225505662 | Crystal Whitesides Kirkland | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2018-10-24 |
| 1699257741 | Angela Michelle Pope | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2018-09-05 |
| 1750870408 | Integrated Wellness Center | Community/Behavioral Health | 2505 Court Dr, Gastonia, NC 28054-2140 | 2018-05-08 |
| 1326550260 | Tori Monique Carlton | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2017-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356623 | Greater Developmental Achievements | Counselor | 2020 Remount Rd Ste E105, Gastonia, NC 28054-7476 | 2018-12-04 |
| 1659841112 | Steven Christopher Land | Counselor | 1517 Spencer Mountain Rd, Gastonia, NC 28054-3016 | 2018-11-27 |
| 1083131049 | Leah Webster | Counselor | 1554c Union Rd Ste 5, Gastonia, NC 28054-5541 | 2017-08-29 |
| 1528509262 | Chad Mcghee | Counselor | 2397 Erika Ln, Gastonia, NC 28056-8800 | 2017-03-14 |
| 1033653050 | Cindy Odom | Counselor | 1305 E Garrison Blvd, Gastonia, NC 28054-5127 | 2016-12-09 |
| 1982152245 | Wendy Johnston | Counselor | 1554c Union Rd Ste 4, Gastonia, NC 28054-5541 | 2016-09-15 |
| 1558734855 | Doreen Velazquez | Counselor | 2005 Angler Way, Gastonia, NC 28052-7182 | 2015-11-09 |
| 1942622907 | Jennifer Harrington | Counselor | 839 Majestic Court, Unit 9, Gastonia, NC 28054 | 2014-01-10 |
| 1316372246 | Steven Lyle Liscum | Counselor | 2032 Pine Needle Ct, Gastonia, NC 28056-1661 | 2013-09-11 |
| 1477997310 | Rachel Marie Hartman | Counselor | 2408 Cricket Ln, Gastonia, NC 28052-5091 | 2013-04-22 |
| Find all providers in GASTONIA | ||||
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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.