NPIMap

Organization Active NPI

The Phoenix Recovery & Counseling Center - St George

  • Substance Use Disorder Rehabilitation Clinic/Center
  • St George, UT
National Provider Identifier
1053779041
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
19187 Issued in UT
Legal business name
THE PHOENIX RECOVERY & COUNSELING CENTER - ST GEORGE
Practice address
230 N 1680 E
Suite U1
St George, UT 84790-2579
Phone
(435) 627-0287
NPI assigned
Feb 4, 2016
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PHOENIX RECOVERY CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Mr. Bradley Randall Christensen
Title
Operations Director
Phone
(435) 773-5857

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 19187 UT
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 19187 UT Primary
Counselor 101Y00000X 19187 UT
Addiction (Substance Use Disorder) Counselor 101YA0400X 19187 UT
Mental Health Counselor 101YM0800X 19187 UT
Professional Counselor 101YP2500X 19187 UT
Behavior Analyst 103K00000X 19187 UT

Addresses

Primary practice location

230 N 1680 E
Suite U1
St George, UT 84790-2579

Mailing address

11762 S State St
Suite 360
Draper, UT 84020-7155
Phone (801) 571-6798

National Provider Directory

National Provider Directory
Tax ID family
The Phoenix Recovery Center LLC8 organizations share this tax ID, including this one
Part of
The Phoenix Recovery Center LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 N 1680 E
Ste U1
St George, UT 84790
Phone (435) 313-4571

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1053779041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "SUITE 360",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "801-571-6798",
            "fax_number": "801-619-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E",
            "address_2": "SUITE U1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "435-627-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX RECOVERY & COUNSELING CENTER - ST GEORGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PHOENIX RECOVERY CENTER, LLC",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "435-773-5857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "19187",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "19187",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "19187",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "19187",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "19187",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "19187",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "19187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.