Rising Phoenix Community Organization

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RISING PHOENIX COMMUNITY ORGANIZATION

Practice address

558 Camino Mercado
Arroyo Grande, CA 93420-1815

Phone

(805) 941-1025

Fax

(805) 941-1026

NPI assigned

Apr 28, 2025

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Cook, BCBANPI 1710243977

Title

President

Phone

(805) 440-6471

Specialties & licenses 2

Addresses

Tax ID family

Rising Phoenix Community Organization2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rising Phoenix Community Organization

  • Behavior Analyst
  • Arroyo Grande, CA
  • NPI 1710780887
  NPD tax ID

Locations

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.

• Lauren Meredith Cook, BCBA

  • Behavior Analyst
  • Arroyo Grande, CA
  • NPI 1710243977
  NPD Authorized official

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1255129698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934830331",
            "telephone_number": "805-440-6471",
            "fax_number": "805-941-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 CAMINO MERCADO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201815",
            "telephone_number": "805-941-1025",
            "fax_number": "805-941-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX COMMUNITY ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-440-6471",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Reina, RPH
• Tania Resendiz
• Rex a. Yannis, MD, a Prof. Corp.
• Richard Martin, M.D. Rehabilitative and Restorative Medicine Inc.
• Avery M Ringquist, PT, DPT
• Rising Phoenix Community Organization
• Victoria S Roberts, LCSW
• Sienna Robertson
• Michael D Rohla, O.D.
• Milena Maria Romani, SLP

• Community/Behavioral Health Agency in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.