Organization Active NPI

Phoenix Healing Group

Doing business as Phoenix Healing Services

  • Mental Health Counselor
  • New Castle, DE
National Provider Identifier
1215698915
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX HEALING GROUP
Doing business as
Phoenix Healing Services
Practice address
10 Corporate Cir Ste 201
New Castle, DE 19720-2418
Phone
(610) 761-2129
NPI assigned
Jan 4, 2022
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Miss Lashawn Janell Waters, LPCMHNPI 1699110015
Title
Ceo
Phone
(610) 761-2129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10 Corporate Cir Ste 201
New Castle, DE 19720-2418

Mailing address

607 Helmsdale Cir
New Castle, DE 19720-3830
Phone (610) 761-2129

Other names 1

  • Phoenix Healing Services Doing business as

National Provider Directory

National Provider Directory

Locations

10 Corporate Cir
Ste 201
New Castle, DE 19720
Phone (610) 761-2129

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1215698915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HELMSDALE CIR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203830",
            "telephone_number": "610-761-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORPORATE CIR STE 201",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202418",
            "telephone_number": "610-761-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "LASHAWN",
        "authorized_official_middle_name": "JANELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-761-2129",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Healing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.