Active NPI
Phoenix Rising Mental Health PLLC
- Professional Counselor
- Northglenn, CO
National Provider Identifier
1104781327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- PHOENIX RISING MENTAL HEALTH PLLC
- Practice address
- 10701 Melody Dr Ste 505
Northglenn, CO 80234-4173 - Phone
- (720) 432-7876
- NPI assigned
- Dec 19, 2025
- 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
- Kristen Weber
- Title
- Owner
- Phone
- (971) 258-3565
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
10701 Melody Dr Ste 505
Northglenn, CO 80234-4173
Mailing address
10701 Melody Dr Ste 505
Northglenn, CO 80234-4173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10701 Melody Dr
Ste 505
Northglenn, CO 80234
Phone (720) 432-7876
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Northglenn, CO
- NPI 1093322828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1104781327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 MELODY DR STE 505",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 MELODY DR STE 505",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344173",
"telephone_number": "720-432-7876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX RISING MENTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-19",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-258-3565"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.