Phoenix Family Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PHOENIX FAMILY COUNSELING LLC

Practice address

3313 Paper Mill Rd Ste 5
Phoenix, MD 21131-1465

Phone

(443) 879-9559

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By 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

Jocelyn Kelly, LCSW-CNPI 1184282873

Title

Psychotherapist/Owner

Phone

(443) 879-9559

Specialties & licenses 1

Addresses

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.

• Jocelyn Kelly, LCSW-C

  • Clinical Social Worker
  • Phoenix, MD
  • NPI 1184282873

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1255175642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 PAPER MILL RD STE 5",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311465",
            "telephone_number": "443-879-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 PAPER MILL RD STE 5",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311465",
            "telephone_number": "443-879-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "443-879-9559",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher William Parsons, DDS
• Sherry Marie Pearson, NP-C
• Eva Pechin, LGPC
• Kristin Marie Pelletier, IBCLC
• David Alan Perrott, R.PH.
• Prana Healthcare Staffing
• John Jerome Pycha, P.D.
• Amy Ruth Rakusin, LCPC, ADTR, NCC
• Rhythms, Inc
• Hong Rosado

• Mental Health Counselor in Phoenix, MD
• Providers in Phoenix, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.