Phoenix Rising Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CW012908 Issued in PA

Legal business name

PHOENIX RISING COUNSELING SERVICES, LLC

Practice address

1512 E Gibson St
Scranton, PA 18510-1902

Phone

(570) 575-3195

Fax

(570) 347-6665

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rosemary D. Caolo, PHD, LCSWNPI 1154399962

Title

Owner

Phone

(570) 575-3195

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Rosemary Caolo, LCSW

  • Clinical Social Worker
  • Scranton, PA
  • NPI 1154399962
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1114386166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 E GIBSON ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101902",
            "telephone_number": "570-575-3195",
            "fax_number": "570-347-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E GIBSON ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101902",
            "telephone_number": "570-575-3195",
            "fax_number": "570-347-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "CAOLO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-575-3195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW012908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ka Pun Phang, MD
• Stephen Kyle Phelps
• Melissa Philip
• Sean McBride Philippo, M. D.
• Lori Phillips, RN
• Physicians Health Alliance Inc
• Physicians Health Alliance Inc
• Physicians Health Alliance Inc
• Physicians Health Alliance Inc
• Physicians Health Alliance Inc

• Community/Behavioral Health Agency in Scranton, PA
• Providers in Scranton, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.

Verify at the official NPI Registry.