Phoenix Rising Mental Health, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PHOENIX RISING MENTAL HEALTH, LLC

Practice address

2001 W Beltline Hwy Ste 105
Madison, WI 53713-2366

Phone

(608) 405-5125

Fax

(608) 690-5266

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Samantha PierceNPI 1164973160

Title

Owner

Phone

(608) 405-5125

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Samantha Pierce

  • Professional Counselor
  • Madison, WI
  • NPI 1164973160
  NPD Authorized official

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1073191995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BELTLINE HWY STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132366",
            "telephone_number": "608-405-5125",
            "fax_number": "608-690-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W BELTLINE HWY STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132366",
            "telephone_number": "608-405-5125",
            "fax_number": "608-690-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-405-5125"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "spierce@phoenixrisingmh.com",
            "affiliation": "N",
            "address_1": "2001 W Beltline Hwy Ste 105",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537132366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dellla Mae Phipps, P.C.
• Janet Phipps, MBA, ACC
• Heidi Nicole Phistry, SAC
• Phoenix Home Medical Supply LLC
• Phoenix Recovery
• Erika Milagros Pi, LM CPM,CLC
• Michael Piazza Jr., DPT, ATC
• Jennifer Kate Piccolo
• Casey Elizabeth Pichette, LPC, SAC
• James Joseph Pichotta, D.C.

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.