Dana Phenix

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3240 Issued in MN

Practice address

140 W Pearl St Ste B
Owatonna, MN 55060-2354

Phone

(507) 273-3768

NPI assigned

Mar 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Rochester Therapy CenterGroup PAC ID 4183077183, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rochester Therapy Center

  • Marriage & Family Therapist
  • Rochester, MN
  • NPI 1205449303
  Medicare reassignment Care Compare group NPD Authorized official
• Phenix Rising Foundation

  • Marriage & Family Therapist
  • Rochester, MN
  • NPI 1114814498
  NPD Authorized official

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1336689496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74823 260TH AVE",
            "city": "HAYFIELD",
            "state": "MN",
            "postal_code": "559408403",
            "telephone_number": "507-273-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W PEARL ST STE B",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602354",
            "telephone_number": "507-273-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHENIX",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Marie Peters, PA
• Jennifer Petersen
• Michael Mauritz Peterson, DC
• Valerie Peterson, PA-C
• Jessica K Phelps, APRN, FNP-BC
• Nancy June Piepho, MA, CHW
• Ericka Jeanette Pirkl, PHARM.D.
• Lucas Pitzen
• Gia Plate, LMFT
• Reinold H Plate, MD

• Marriage & Family Therapist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.