Organization Active NPI

Phoenix Counseling, Inc.

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1194872143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2173 Issued in NE
Legal business name
PHOENIX COUNSELING, INC.
Practice address
5120 Walnut Street, Suite 11
Omaha, NE 68106-2471
Phone
(402) 556-1153
Fax
(402) 556-1153
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gregory Ojiewulu Ucheagwu, LMHPNPI 1669648911
Title
Mental Health Therapist
Phone
(402) 556-1153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2173 NE Primary

Addresses

Primary practice location

5120 Walnut Street, Suite 11
Omaha, NE 68106-2471

Mailing address

5120 Walnut Street, Suite 11
Omaha, NE 68106-2471
Phone (402) 556-1153

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194872143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WALNUT STREET, SUITE 11",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062471",
            "telephone_number": "402-556-1153",
            "fax_number": "402-556-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 WALNUT STREET, SUITE 11",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062471",
            "telephone_number": "402-556-1153",
            "fax_number": "402-556-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UCHEAGWU",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "OJIEWULU",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-556-1153",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.