NPIMap

Organization Active NPI

Rising Phoenix Counseling Solutions

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1104423185
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RISING PHOENIX COUNSELING SOLUTIONS
Practice address
210 N Higgins Ave Ste 222
Missoula, MT 59802-4443
Phone
(406) 249-6437
NPI assigned
Oct 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Shannon Rae McNabb, LCPC, MHPP
Title
Licensed Clinical Professional Coun
Phone
(406) 249-6437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

210 N Higgins Ave Ste 222
Missoula, MT 59802-4443

Mailing address

210 N Higgins Ave Ste 222
Missoula, MT 59802-4443
Phone (406) 249-6437

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1104423185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE STE 222",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024443",
            "telephone_number": "406-249-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE STE 222",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024443",
            "telephone_number": "406-249-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "MCNABB",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "406-249-6437",
        "authorized_official_credential": "LCPC, MHPP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.