Organization Active NPI

Phoenix Recovery Ohio Inc.

  • Mental Health Counselor
  • Lebanon, OH
National Provider Identifier
1063211357
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Laura Nye, MSW, LISW, LICDCNPI 1770255085
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.