Phoenix Center Inc
A Medicare group practice based in Ashland, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9133611049), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9133611049
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- KY, OH
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20260317001189 | KY | Part B Supplier - Clinic/Group Practice | 1225670813 |
| O20251229001375 | OH | Part B Supplier - Clinic/Group Practice | 1225670813 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Phoenix Center, Inc.
dba TPC Wellness
- Substance Use Disorder Rehabilitation Clinic/Center
- Ironton, OH
- NPI 1225670813
-
Phoenix Center, Inc.
dba TPC Wellness
- Addiction (Substance Use Disorder) Counselor
- Ironton, OH
- NPI 1063044394
Practice locations
- Wilmington, OH1
- Mount Orab, OH1
- Jackson, OH1
- Ironton, OH1
- Ashland, KY1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (3).
-
Andrew Christian, B.S., B.A., CT
- Mental Health Counselor
- Ironton, OH
- NPI 1750832457
-
Dafney Clary
- Social Worker
- Ironton, OH
- NPI 1427945310
-
Stacy Howard, M.ED LICDC
- Counselor
- Coal Grove, OH
- NPI 1669824462
-
Charles Oliver, CDCA
- Addiction (Substance Use Disorder) Counselor
- Portsmouth, OH
- NPI 1164935284
-
Jennifer Michelle Riddle, LISW-S
- Clinical Social Worker
- Cincinnati, OH
- NPI 1740464460
-
Michelle N Ruoss, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Mason, OH
- NPI 1851165427
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.