Active NPI
Phoenix Care Counseling PLLC
- Mental Health Counselor
- Mesquite, TX
National Provider Identifier
1104579143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PHOENIX CARE COUNSELING PLLC
- Practice address
- 4609 Egret St
Mesquite, TX 75181-4900 - Phone
- (972) 998-7777
- NPI assigned
- Jan 31, 2022
- 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
- Christina Roy, LPC, LCDC
- Title
- Owner
- Phone
- (972) 998-7777
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4609 Egret St
Mesquite, TX 75181-4900
Mailing address
4609 Egret St
Mesquite, TX 75181-4900
Phone (972) 998-7777
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.
-
- Mental Health Counselor
- Mesquite, TX
- NPI 1952925042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670457600000",
"number": "1104579143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4609 EGRET ST",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751814900",
"telephone_number": "972-998-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4609 EGRET ST",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751814900",
"telephone_number": "972-998-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX CARE COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-998-7777",
"authorized_official_credential": "LPC, LCDC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.