Active NPI
Roslyn Phenix, PHD LCPC
- Pastoral Counselor
- Fort Worth, TX
National Provider Identifier
1225595689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 15227
- Practice address
- 3201 Purington Ave
Fort Worth, TX 76103-2435 - Phone
- (682) 235-4807
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 15227 | TX | Primary |
Addresses
Primary practice location
3201 Purington Ave
Fort Worth, TX 76103-2435
Mailing address
2623 Easom Cir Apt 250
Arlington, TX 76006-4120
Phone (832) 754-4943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15227 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1225595689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 EASOM CIR APT 250",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760064120",
"telephone_number": "832-754-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 PURINGTON AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761032435",
"telephone_number": "682-235-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHENIX",
"first_name": "ROSLYN",
"name_prefix": "Dr.",
"credential": "PHD LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": "15227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.