Phoenix Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PHOENIX COUNSELING

Practice address

827 6TH St
Clarkston, WA 99403-2002

Phone

(208) 717-2288

Fax

(208) 980-7055

NPI assigned

Nov 15, 2021

Organization subpart

No

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

Authorized official

Name

Elise Staab, LMHCNPI 1689200453

Title

Owner/Counselor

Phone

(208) 717-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phoenix Counseling Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Elise M Staab, LCPC, LMHC

  • Counselor
  • Clarkston, WA
  • NPI 1689200453

  Mental Health

  NPD Authorized official
• Elizabeth Baker, LPC

  • Mental Health Counselor
  • Lewiston, ID
  • NPI 1184436933
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1235895178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032002",
            "telephone_number": "208-717-2288",
            "fax_number": "208-980-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032002",
            "telephone_number": "208-717-2288",
            "fax_number": "208-980-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "STAAB",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "208-717-2288",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELISE STAAB",
            "identifier": "1689200453",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@phoenixcounselingid.com",
            "affiliation": "N",
            "endpointDescription": "Support",
            "address_1": "827 6th St",
            "city": "Clarkston",
            "state": "WA",
            "country_code": "US",
            "postal_code": "994032002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydnee Peters
• Charles Randolph Petersen
• Julie Marie Phelan
• Bryan Phelps, CRNA
• Nicholas Phillips, MD
• Meghan Elise Pierce, LMP
• Sheila Pilkington, RPH
• Sarah Marie Power, M.S., CCC-SLP
• PPM Washington LLC
• Premere Rehab, LLC

• Mental Health Counselor in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Mental Health Counselor in Washington

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