Organization Active NPI

Phoenix Rising Wellness & Counseling

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1083544878
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX RISING WELLNESS & COUNSELING
Practice address
1401 Riverplace Blvd Apt 2503
Jacksonville, FL 32207-1823
Phone
(904) 469-6878
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Authorized official

Name
Sakina McCoy, LMHCNPI 1013414960
Title
Owner/Counselor
Phone
(904) 469-6878

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1401 Riverplace Blvd Apt 2503
Jacksonville, FL 32207-1823

Mailing address

1401 Riverplace Blvd Apt 2503
Jacksonville, FL 32207-1823
Phone (904) 469-6878

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": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779580800000",
    "number": "1083544878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD APT 2503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071823",
            "telephone_number": "904-469-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD APT 2503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071823",
            "telephone_number": "904-469-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING WELLNESS & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "SAKINA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "904-469-6878",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.