Phobia Counseling Center of the Triad Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC341 Issued in NC

Legal business name

PHOBIA COUNSELING CENTER OF THE TRIAD INC

Doing business as

Phobia Treatment Center of the Triad Inc Kenneth A Frazier

Practice address

5318 W Friendly Ave
Greensboro, NC 27410-4349

Phone

(336) 292-6947

Fax

(336) 292-7409

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth A Frazier

Title

President

Phone

(336) 292-6947

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phobia Treatment Center of the Triad Inc Kenneth A Frazier Doing business as

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255366803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104349",
            "telephone_number": "336-292-6947",
            "fax_number": "336-292-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104349",
            "telephone_number": "336-292-6947",
            "fax_number": "336-292-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOBIA COUNSELING CENTER OF THE TRIAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-292-6947"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "LPC341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0195V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phobia Treatment Center of the Triad Inc Kenneth A Frazier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Phillips
• Susan L Phillips, PHD CCCA
• Valerie P Phillips
• Gregory Steven Phipps, LPCA
• Leslie Phipps, SLP
• Phoenix Counseling and Recovery Services, LLC
• Phoenix Home Care of the Triad
• Phoenix Psychotherapy, PLLC
• Phoenix Sun Therapeutic Solutions
• Dayo Phoenix

• Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.