Phoenix Counseling

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

6013-125 Issued in WI

Legal business name

PHOENIX COUNSELING

Practice address

64 S 4TH St
Barron, WI 54812-1503

Phone

(715) 537-5610

Fax

(715) 637-5749

NPI assigned

Jul 11, 2016

Organization subpart

Yes

Parent organization

WHITING MAINTENANCE SYSTEMS, INC.As reported in NPPES

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

Authorized official

Name

Nate L Whiting, MA, LPC, CSAC

Title

President

Phone

(715) 296-3840

Specialties & licenses 2

Addresses

Part of

Phoenix Counseling

Locations

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1306298740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S 4TH ST",
            "address_2": "P.O. BOX 142",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548121503",
            "telephone_number": "715-537-5610",
            "fax_number": "715-637-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 S 4TH ST",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548121503",
            "telephone_number": "715-537-5610",
            "fax_number": "715-637-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITING MAINTENANCE SYSTEMS, INC.",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "NATE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-296-3840",
        "authorized_official_credential": "MA, LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "6013-125",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "15915-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara K. Reinikainen, NP

• Substance Abuse Rehabilitation Facility in Barron, WI
• Providers in Barron, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.