NPIMap

Organization Active NPI

Phoenix Associates Counseling Services Inc

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1285079517
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1656-3183 Issued in TX
Legal business name
PHOENIX ASSOCIATES COUNSELING SERVICES INC
Practice address
11886 Greenville Ave Ste 122
Dallas, TX 75243-3569
Phone
(972) 278-7427
Fax
(972) 278-7478
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
David Cudmore
Title
Director of Development
Phone
(817) 338-0311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1656-3183 TX Primary

Addresses

Primary practice location

11886 Greenville Ave Ste 122
Dallas, TX 75243-3569

Mailing address

3001 W 5TH St
Suite a
Fort Worth, TX 76107-8900
Phone (817) 338-0311

Other names 1

  • Ascendus Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Associates Counseling Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

11886 Greenville Ave
Ste 122
Dallas, TX 75243
Phone (972) 278-7427

3884 S Shiloh Rd
Ste 101
Garland, TX 75041
Phone (972) 278-7427

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1285079517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W 5TH ST",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078900",
            "telephone_number": "817-338-0311",
            "fax_number": "817-332-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11886 GREENVILLE AVE STE 122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433569",
            "telephone_number": "972-278-7427",
            "fax_number": "972-278-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ASSOCIATES COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "CUDMORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF DEVELOPMENT",
        "authorized_official_telephone_number": "817-338-0311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "1656-3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascendus Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.