Phoenix Recovery

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHOENIX RECOVERY

Practice address

621 N Sherman Ave Ste B15
Madison, WI 53704-4445

Phone

(608) 893-1050

Fax

(608) 893-1503

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly J Lohman, MS LPC CSACNPI 1245661040

Title

Co-Founder

Phone

(608) 893-1050

Specialties & licenses 3

Addresses

Other names 1

• Phoenix Recovery LLC Other name

Medicare fee-for-service enrollment

Enrolled in WI

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.

• Kimberly J Lohman, LPC CSAC

  • Professional Counselor
  • Madison, WI
  • NPI 1245661040

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Cheri L Wotnoske, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Darlington, WI
  • NPI 1669449922
  NPD (past)

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1205691755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N SHERMAN AVE STE B17",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044445",
            "telephone_number": "608-893-1050",
            "fax_number": "608-893-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N SHERMAN AVE STE B15",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044445",
            "telephone_number": "608-893-1050",
            "fax_number": "608-893-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "LOHMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "608-893-1050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LPC CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Recovery LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jared Linwood Philpott
• Dellla Mae Phipps, P.C.
• Janet Phipps, MBA, ACC
• Heidi Nicole Phistry, SAC
• Phoenix Home Medical Supply LLC
• Phoenix Rising Mental Health, LLC
• Erika Milagros Pi, LM CPM,CLC
• Michael Piazza Jr., DPT, ATC
• Jennifer Kate Piccolo
• Casey Elizabeth Pichette, LPC, SAC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.