Phoenix Rising Counseling L.L.C

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PHOENIX RISING COUNSELING L.L.C

Practice address

2521 Woodlake Rd SW Apt 4
Wyoming, MI 49519-4712

Phone

(616) 970-4661

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Kaymi HargroveNPI 1376013029

Title

Llmsw

Phone

(616) 970-4661

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kaymi Rachelle Hargrove

  • Social Worker
  • Wyoming, MI
  • NPI 1376013029
  NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1144079518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 WOODLAKE RD SW APT 4",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 WOODLAKE RD SW APT 4",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194712",
            "telephone_number": "616-970-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING COUNSELING L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "KAYMI",
        "authorized_official_title_or_position": "LLMSW",
        "authorized_official_telephone_number": "616-970-4661"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle E Pfeifer, MD
• Thomas W Pfennig, D.O., FAOCO
• Barbara Elizabeth Phillips
• Morgan Phillips
• Bruce M Philpott
• Alexandra Marie Pierce
• Elizabeth Anna Marie Pierce, FNP-C
• Kerent Dominique Pihl, D.O.
• Melissa Pillai, FNP-BC
• Anil Kumar Pillay, DO

• Adolescent and Children Mental Health Clinic/Center in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.