Phoenix Rising Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PHOENIX RISING THERAPY, LLC

Practice address

15030 Zeolite St NW
Ramsey, MN 55303-4301

Phone

(651) 274-9810

NPI assigned

Jun 18, 2025

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer PhoenixNPI 1831837319

Title

Owner

Phone

(651) 274-9810

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, and the practitioner matching its NPPES authorized official.

• Jennifer Lynn Phoenix, LMFT

  • Marriage & Family Therapist
  • Ramsey, MN
  • NPI 1831837319
  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1184511628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 ZEOLITE ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 ZEOLITE ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034301",
            "telephone_number": "651-274-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "PHOENIX",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-274-9810"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Paye, RN
• Performance Sports Chiropractic Center
• Angel Peterson, RN
• Jamie Lee Peterson, DDS
• Marilyn Kay Peterson, PTA
• Jennifer Lynn Phoenix, LMFT
• Angelique Quinn Piper, M.D.
• Shannon Potter
• Kimberly Putz
• Jennifer Lynn Quade

• Marriage & Family Therapist in Ramsey, MN
• Providers in Ramsey, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.