Rising Phoenix Psychology and Counseling LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RISING PHOENIX PSYCHOLOGY AND COUNSELING LLC

Practice address

123 S Cochran Ave Ste D
Charlotte, MI 48813-1509

Phone

(517) 997-6088

NPI assigned

Sep 8, 2021

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikole Bethea, LLP

  • Psychologist
  • Charlotte, MI
  • NPI 1053814392
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1033888565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S COCHRAN AVE STE D",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131509",
            "telephone_number": "517-997-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX PSYCHOLOGY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Jolee Reisinger
• Renal Care Group Charlotte, LLC (Fresenius Medical Care Charlotte)
• Renee L.I. Owen DDS PC
• Kathryn Pellegrom Riley, PT
• Sherri Lynn Rinard
• Robert B Coon DMD PLLC
• Robert D Rolle P.C.
• Rolle and Dewitt Chiropractic Corporation
• Robert David Rolle, D.C.
• Craig Michael Ross

• Psychologist in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.