Organization Active NPI

The Phoenix Rising, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1356196299
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE PHOENIX RISING, LLC
Practice address
9301 Indian School Rd NE Ste 101-E
Albuquerque, NM 87112-2884
Phone
(505) 261-8881
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Sabrina Montoya, LCSWNPI 1932583838
Title
Owner
Phone
(505) 261-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9301 Indian School Rd NE Ste 101-E
Albuquerque, NM 87112-2884

Mailing address

1617 Indiana St NE
Albuquerque, NM 87110-6915
Phone (505) 261-8881

National Provider Directory

National Provider Directory

Locations

9301 Indian School Rd NE
Ste 101E
Albuquerque, NM 87112
Phone (505) 261-8881

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": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1356196299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 INDIANA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106915",
            "telephone_number": "505-261-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 INDIAN SCHOOL RD NE STE 101-E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122884",
            "telephone_number": "505-261-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX RISING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-261-8881",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.