Organization Active NPI

Rise Phoenix Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NY
National Provider Identifier
1215896162
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RISE PHOENIX MENTAL HEALTH COUNSELING PLLC
Practice address
103 Canal Landing Blvd Ste 8
Rochester, NY 14626-5108
Phone
(585) 204-6152
Fax
(585) 348-2092
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Kanza Chatman, LMHC-DNPI 1396370904
Title
Owner
Phone
(585) 204-6151

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

103 Canal Landing Blvd Ste 8
Rochester, NY 14626-5108

Mailing address

PO Box 173
Fairport, NY 14450-0173
Phone (585) 204-6151

National Provider Directory

National Provider Directory

Locations

103 Canal Landing Blvd
Ste 8
Rochester, NY 14626
Phone (585) 204-6152

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1215896162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144500173",
            "telephone_number": "585-204-6151",
            "fax_number": "585-348-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANAL LANDING BLVD STE 8",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265108",
            "telephone_number": "585-204-6152",
            "fax_number": "585-348-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PHOENIX MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "KANZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-204-6151",
        "authorized_official_credential": "LMHC-D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.