PHOENIX COUNSELING CENTER (NPI# 1548555873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548555873 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING CENTER |
| Practice Address |
609 N Washington St Shelby NC 28150-3810 |
| Mailing Address |
2505 Court Dr Gastonia NC 28054-2140 |
| Practice Telephone | 7047513693 |
| Mailing Telephone | 7049213070 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | KEVIN P OLIVER (CEO) |
| Authorized Official Telephone | 7049213070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | MHL-023-171 | NC | Agencies |
| 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 |
| 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 |
609 N WASHINGTON ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548289333 | Stephanie Ann Porter | Counselor | 609 N Washington St, Shelby, NC 28150-3810 | 2006-07-19 |
| 1013526771 | Jade Charnae Williams | Social Worker | 609 N Washington St, Shelby, NC 28150-3810 | 2020-07-29 |
| 1811542301 | Sharon Kelley | Counselor | 609 N Washington St, Shelby, NC 28150-3810 | 2019-08-02 |
| 1700382264 | Tyra Shepeard | Social Worker | 609 N Washington St, Shelby, NC 28150-3810 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| 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 |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1720585995 | Momentum Ministries, Inc. | Community/Behavioral Health | 1114 S Lafayette St, Shelby, NC 28152-6708 | 2018-04-12 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1700258464 | Momentum Ministries, Inc. | Community/Behavioral Health | 1050 Sam Lattimore Rd, Shelby, NC 28152-0536 | 2015-10-21 |
| 1831578772 | Life Provisions, LLC | Community/Behavioral Health | 111 Carriage Ct, Shelby, NC 28150-8412 | 2015-05-26 |
| 1992113260 | Alexander Youth Network - Pass Day Treatment | Community/Behavioral Health | 1701 Charles Road, Shelby, NC 28185-3460 | 2014-07-30 |
| 1851636849 | Amazing Minds Theraptic Care | Community/Behavioral Health | 707 S Lafayette St, Suite 1 & 2, Shelby, NC 28150-5819 | 2012-12-03 |
| 1962762542 | Fortress Behavioral Services Inc | Community/Behavioral Health | 836 Churchill Dr, Shelby, NC 28150-6006 | 2012-05-17 |
| 1659630416 | Hope Support Systems Inc | Community/Behavioral Health | 6 Bolt Dr, Shelby, NC 28150-4024 | 2012-05-14 |
| 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.