Fenix Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FENIX BEHAVIORAL HEALTH LLC

Practice address

2247 Palm Beach Lakes Blvd Ste 205
West Palm Beach, FL 33409-3409

Phone

(561) 421-4132

Fax

(561) 774-8265

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Aser Ones, LCSWNPI 1417336454

Title

Owner

Phone

(561) 421-4132

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fenix Behavioral Health Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Aser Ones, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1417336454

  FL

  Medicare reassignment NPD Authorized official
• Liana Rodriguez, MSW

  • Social Worker
  • Lake Worth, FL
  • NPI 1255927307
  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1164874129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 DOBBINS ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052831",
            "telephone_number": "561-860-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093409",
            "telephone_number": "561-421-4132",
            "fax_number": "561-774-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "ONES",
        "authorized_official_first_name": "ASER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-421-4132",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164874129",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "email@fenixbh.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2247 Palm Beach Lakes Blvd Ste 205",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334093409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fenix Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica J Felice, MS
• Odaimy Feliciano Lopez
• Jodi Felitti, BCBA
• Ashley Fender
• Bianka Fenelus
• Carrol Ann Fenn, D.D.S.
• Bridgit Fennell, MSW RCSWI
• Erika Fennell
• Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH
• Donna Ferenzi

• All providers in West Palm Beach, FL
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.