Phoenix Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PHOENIX THERAPY, LLC

Practice address

100 Clearwater Dr Unit 157
Falmouth, ME 04105-1366

Phone

(207) 209-0105

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Jenna Lynn Ostrowski, LCPCNPI 1922473990

Title

Mental Health Counselor

Phone

(207) 209-0105

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.

• Jenna Ostrowski, LCPC-C

  • Mental Health Counselor
  • Falmouth, ME
  • NPI 1922473990
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1043968936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 US ROUTE 1 UNIT B1",
            "address_2": "#1008",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051367",
            "telephone_number": "207-386-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLEARWATER DR UNIT 157",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051366",
            "telephone_number": "207-209-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "OSTROWSKI",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "207-209-0105",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Pelletier
• Ruth Esther Pelletier, PTA
• Joyce H Pelletur, CLINICIAL COUNSELOR
• Erika Marie Penrod
• Eileen M Peterson, M.S.,BOARD CERTIFIED
• Pinnacle Rehabilitation Network, LLC
• Christopher Edward Piper, PTA
• Emily Jane Piper, PT,DPT
• Kelly Carolina Pitre, OTR/L
• Hailey Pollard, LCPC-C

• Mental Health Counselor in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.