Phoenix Associates of Hancock County, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1592-0-ASO Issued in IN

Legal business name

PHOENIX ASSOCIATES OF HANCOCK COUNTY, LLC

Practice address

415 W Main St
Greenfield, IN 46140-2056

Phone

(317) 462-8281

Fax

(317) 462-8289

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Charles Keister, LMHC, CADACII

Title

Clinical Director

Phone

(317) 462-8281

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1184859274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W MAIN ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402056",
            "telephone_number": "317-462-8281",
            "fax_number": "317-462-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W MAIN ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402056",
            "telephone_number": "317-462-8281",
            "fax_number": "317-462-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ASSOCIATES OF HANCOCK COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "KEISTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "317-462-8281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, CADACII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "1592-0-ASO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Perkins, RPA/RA/RRA
• Olivia Paige Perkins, MA, CCC-SLP
• Barbara Pescitelli, NP
• Elizabeth Peyton, MD
• Tatum R Phillips
• Kathleen Theresa Picard-Nance, RPH
• Sandra Kay Pickering, PTA
• Gina Pipkin
• Dale Donald Pleak, D.D.S.
• Timothy Dean Plummer, RPH

• Community/Behavioral Health Agency in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.