PHOENIX RISING LLC (NPI# 1851828909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851828909 |
| Entity Type | Organization |
| Organization Name | PHOENIX RISING LLC |
| Practice Address |
5666 Lincoln Dr Ste 101 Edina MN 55436-1673 |
| Mailing Address |
5229 Maddox Ln Edina MN 55436-2602 |
| Practice Telephone | 6122014686 |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2017-05-20 |
| Authorized Official Name | ERIN WEBER MCKEEN (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 6122014686 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3394 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356794788 | Phoenix Rising LLC | Counselor | N7640 County Road Wh Ste 200, Fond Du Lac, WI 54937-7832 | 2016-07-20 |
| 1972736221 | Phoenix Rising LLC | Home Health | 3106 E Northern Pkwy, Baltimore, MD 21214-1420 | 2009-09-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Phoenix Rising LLC | 7443 S Pennsylvania St, Littleton, CO 80122 |
| Oregon Corporations, Companies and Business Names | PHOENIX RISING LLC | 13044 Sw Broadmoor Pl, Tigard, OR 97223 |
| Washington State Corporations | PHOENIX RISING LLC | 17511 121st Ln Se Apt Bb201, Renton, WA 98058-5966 |
| Street Address |
5666 LINCOLN DR STE 101 |
| City | EDINA |
| State | MN |
| Zip Code | 55436-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558315846 | Emily Benson | Social Worker | 5666 Lincoln Dr Ste 101, Edina, MN 55436-1673 | 2006-05-20 |
| 1457919730 | Beginnings & Beyond Counseling LLC | Social Worker | 5666 Lincoln Dr Ste 101, Edina, MN 55436-1673 | 2019-06-03 |
| 1700360963 | Lyndsie A Standerwick | Counselor | 5666 Lincoln Dr Ste 101, Edina, MN 55436-1673 | 2018-09-23 |
| 1003255324 | Annalise John | Social Worker | 5666 Lincoln Dr Ste 101, Edina, MN 55436-1673 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| 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 |
|---|---|---|---|---|
| 1841899184 | Michelle Suarez | Marriage & Family Therapist | 7831 E Bush Lake Rd Ste 200d, Edina, MN 55439-3164 | 2020-10-19 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1265072482 | Erin Peterson, Inc. | Marriage & Family Therapist | 6800 France Ave S Ste 520, Edina, MN 55435-2006 | 2020-01-15 |
| 1588122493 | Dynelle R Helgeson | Marriage & Family Therapist | 5200 Willson Rd Ste 290, Edina, MN 55424-1346 | 2019-03-10 |
| 1619432077 | Holly Ramstad Birkeland | Marriage & Family Therapist | 3209 W 76th St Ste 304, Edina, MN 55435-5246 | 2019-02-09 |
| 1003328287 | Isabelle Anna Lankhorst | Marriage & Family Therapist | 6750 France Ave S Ste 200, Edina, MN 55435-1904 | 2017-10-28 |
| 1497292148 | Alina Meisner | Marriage & Family Therapist | 7400 Metro Blvd Ste 427, Edina, MN 55439-2359 | 2017-01-19 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1396106688 | Rachel Livingston | Marriage & Family Therapist | 3300 Edinborough Way Ste 550, Edina, MN 55435-5876 | 2016-03-14 |
| 1144694530 | Alexandra Hoese | Marriage & Family Therapist | 4570 W 77th St Ste 315, Edina, MN 55435-5035 | 2015-11-23 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on PHOENIX RISING LLC.
| 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.