Misty Mountain Phoenix Rising LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MISTY MOUNTAIN PHOENIX RISING LLC

Doing business as

Wendy Rozelle, M.A. MFT

Practice address

23550 Lyons Ave.
Suite 211
Newhall, CA 91321-9132

Phone

(818) 602-3680

Fax

(661) 309-4677

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Wendy Rozelle, MA MFTNPI 1952409682

Title

LMFT

Phone

(818) 602-3680

Specialties & licenses 1

Addresses

Other names 1

• Wendy Rozelle, M.A. MFT Doing business as

Practitioners 1

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

• Wendy M Rozelle, MA MFT

  • Marriage & Family Therapist
  • Newhall, CA
  • NPI 1952409682
  NPD Authorized official

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1235803636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22314 CANONES CIRCLE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502244",
            "telephone_number": "818-602-3680",
            "fax_number": "661-309-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23550 LYONS AVE.",
            "address_2": "SUITE 211",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913219132",
            "telephone_number": "818-602-3680",
            "fax_number": "661-309-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY MOUNTAIN PHOENIX RISING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "ROZELLE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "818-602-3680",
        "authorized_official_credential": "MA MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy Rozelle, M.A. MFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Lin Meena, MFT
• David Anthony Mendoza
• Cheryl Christine Mercer
• Michael a Garcia MD Inc
• Danielle Prepon Miller
• Katharine Anne Mitchell, M.S., CCC-SLP
• MJM Healthcare Services, Inc.
• Nellie Mojab, DPT
• Moinuddin Habib Mokhashi, M.D.
• Stacy Lynn Monaghan, LMFT

• Marriage & Family Therapist in Newhall, CA
• Providers in Newhall, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.