Organization Active NPI

Phoenix Rising Now Corporation

  • Community/Behavioral Health Agency
  • Lake Mary, FL
National Provider Identifier
1336410349
Registry record updated Jan 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MT2629 Issued in FL
Legal business name
PHOENIX RISING NOW CORPORATION
Practice address
1540 International Pkwy
Suite 2000
Lake Mary, FL 32746-4713
Phone
(407) 267-0415
NPI assigned
Jan 23, 2012
Last updated
Jan 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2012

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

Authorized official

Name
Rhonda Baker, LMFT
Title
Executive Director
Phone
(407) 267-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MT2629 FL Primary

Addresses

Primary practice location

1540 International Pkwy
Suite 2000
Lake Mary, FL 32746-4713

Mailing address

2625 Tweed Run
Sanford, FL 32771-6499
Phone (407) 267-0415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1336410349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TWEED RUN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716499",
            "telephone_number": "407-267-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY",
            "address_2": "SUITE 2000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464713",
            "telephone_number": "407-267-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING NOW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-267-0415",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MT2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.