Active NPI
Phoenix Recovery Ohio Inc.
- Mental Health Counselor
- Lebanon, OH
National Provider Identifier
1063211357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PHOENIX RECOVERY OHIO INC.
- Doing business as
- Phoenix Recovery
- Practice address
- 1606 Founders LN Apt 512
Lebanon, OH 45036-2199 - Phone
- (614) 733-8862
- NPI assigned
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Nye, MSW, LISW, LICDC
- Title
- Founder
- Phone
- (614) 733-8862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1606 Founders LN Apt 512
Lebanon, OH 45036-2199
Mailing address
1606 Founders LN Apt 512
Lebanon, OH 45036-2199
Phone (614) 733-8862
Other names 1
- Phoenix Recovery
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1063211357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 FOUNDERS LN APT 512",
"city": "LEBANON",
"state": "OH",
"postal_code": "450362199",
"telephone_number": "614-733-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 FOUNDERS LN APT 512",
"city": "LEBANON",
"state": "OH",
"postal_code": "450362199",
"telephone_number": "614-733-8862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX RECOVERY OHIO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-10",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "NYE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "614-733-8862",
"authorized_official_credential": "MSW, LISW, LICDC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Phoenix Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.