Phoenix Therapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PHOENIX THERAPY LLC

Practice address

422 Highland Avenue
Building C Suite 1
Cheshire, CT 06410-2526

Phone

(800) 820-8210

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Crystal Shanatai Mitchell-Brivett, LMFTNPI 1316608664

Title

Managing Member

Phone

(203) 898-4265

Specialties & licenses 1

Addresses

Other names 1

• Crystal Mitchell Counseling Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Shanatai Mitchell-Brivett, LMFT

  • Marriage & Family Therapist
  • Waterbury, CT
  • NPI 1316608664
  NPD Authorized official

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1053168393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HAWTHORNE AVE",
            "address_2": "DERBY",
            "city": "CT",
            "state": "CT",
            "postal_code": "064181101",
            "telephone_number": "800-820-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HIGHLAND AVENUE",
            "address_2": "BUILDING C SUITE 1",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102526",
            "telephone_number": "800-820-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL-BRIVETT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "SHANATAI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-898-4265",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Mitchell Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caitlyn Perillo, OT
• Brittney Perry, COTA/L
• Perspectives Center for Care, Inc.
• Anita Petruzzelli, MD
• Justine Phee, SLP
• Physical Therapy & Pilates Restoration LLC
• Piece to Peace, LLC
• Pieces That Fit
• James William Pier, PH.D.
• Dennis Pilarczyk, M.D.

• Marriage & Family Therapist in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.