Phoenix LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX LLC

Practice address

2226 5TH Ave
Council Bluffs, IA 51501-3735

Phone

(402) 378-5755

NPI assigned

Dec 28, 2020

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joquana GoynesNPI 1144013913

Title

Executive Director

Phone

(402) 378-5755

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joquana Goynes

  • Registered Nurse
  • Omaha, NE
  • NPI 1144013913
  Authorized official Same address or phone

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1356938146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 5TH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013735",
            "telephone_number": "402-378-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 5TH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013735",
            "telephone_number": "402-378-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GOYNES",
        "authorized_official_first_name": "JOQUANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-378-5755"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey K Phelps, LMHC
• Philip W. Meyer MD PC
• Elizabeth Anne Phillippi, ARNP
• Isabella Ann Phillips, PA
• Kelsey Phippen, RD, LD, LMNT
• Phoenix LLC
• PHS Council Bluffs, Inc (Prairie Gate)
• Physicians Clinic Inc
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)

• Community/Behavioral Health Agency in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.