Organization Active NPI

Phoenixrisen Counseling

  • Adult Mental Health Clinic/Center
  • Eden Prairie, MN
National Provider Identifier
1124902960
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PHOENIXRISEN COUNSELING
Practice address
6640 Shady Oak Rd Ste 451
Eden Prairie, MN 55344-7834
Phone
(612) 201-1919
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Richard Arthur RittmasterNPI 1023385234
Title
Owner
Phone
(952) 746-2522

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6640 Shady Oak Rd Ste 451
Eden Prairie, MN 55344-7834

Mailing address

16315 Ice Circle Dr
Wayzata, MN 55391-2323
Phone (612) 201-1919

Other names 1

  • Rittmaster Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251029000846 MN Part B Supplier - Clinic/Group Practice 6800385048 Receives reassigned benefits from 3 practitioners
Practice locations: Eden Prairie, MN

National Provider Directory

National Provider Directory

Locations

6640 Shady Oak Rd
Ste 451
Eden Prairie, MN 55344
Phone (612) 201-1919

Practitioners & affiliated clinicians

Practitioners 3

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": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1124902960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 ICE CIRCLE DR",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912323",
            "telephone_number": "612-201-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 SHADY OAK RD STE 451",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447834",
            "telephone_number": "612-201-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIXRISEN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "RITTMASTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-746-2522"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rittmaster",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.