PHOENIX COUNSELING SERVICES LLC (NPI# 1962025130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962025130 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING SERVICES LLC |
| Practice Address |
103 Carnegie Ctr Ste 120 Princeton NJ 08540-6235 |
| Mailing Address |
Po Box 6564 Lawrenceville NJ 08648-0564 |
| Practice Telephone | 6094561576 |
| Mailing Telephone | 6094561576 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | NICOLE CICCONE (OWNER) |
| Authorized Official Telephone | 6094561576 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Phoenix Counseling Services LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044776 | Phoenix Counseling Services LLC | Counselor | 750 W Ustick Rd, Ste 120, Meridian, ID 83646-6133 | 2016-10-17 |
| 1053721894 | Phoenix Counseling Services LLC | Community/Behavioral Health | Rr 6 Box 5, Stilwell, OK 74960-9501 | 2014-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | PHOENIX COUNSELING SERVICES LLC | 110 W. Maple, Stilwell, OK 74960 |
| Street Address |
103 CARNEGIE CTR STE 120 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760974646 | Nicole Ciccone | Counselor | 103 Carnegie Ctr Ste 120, Princeton, NJ 08540-6235 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624840 | Cherie M. Barton | Counselor | 6415 Fm 546 Lot 2, Princeton, TX 75407-4097 | 2020-06-17 |
| 1215577515 | Contee Botchford Moschberger | Counselor | 353 Nassau St, Princeton, NJ 08540-4623 | 2020-01-14 |
| 1841787900 | Magdalena Furniss | Counselor | 20 Nassau St Ste 226, Princeton, NJ 08542-4505 | 2018-04-15 |
| 1417451725 | Poonam D Patel | Counselor | 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 | 2018-03-21 |
| 1679090344 | Sudha Nagarajan | Counselor | 145 Witherspoon St., Suite A7, Princeton, NJ 08540 | 2017-08-24 |
| 1437695756 | Kimberly Beury | Counselor | 29 Leigh Ave, Princeton, NJ 08542-3111 | 2017-01-10 |
| 1598120123 | Eclectic Dragonfly Therapy Services, Pllc | Counselor | 108 6th Ave S, Princeton, MN 55371-1820 | 2015-12-26 |
| 1619344504 | Danice C. Banda | Counselor | 4499 Route 27 Ste 1, Princeton, NJ 08540-8717 | 2015-08-26 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| 1083043798 | Esther Mills | Counselor | 218 Birch Ave, Princeton, NJ 08542-3106 | 2013-11-03 |
| Find all providers in PRINCETON | ||||
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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.