NPIMap

Organization Active NPI

Phoenix Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, OR
National Provider Identifier
1376716571
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NO NUMBER Issued in OR
Legal business name
PHOENIX COUNSELING CENTER, INC.
Practice address
149 S Main St
Phoenix, OR 97535
Phone
(541) 535-4133
Fax
(541) 535-5458
NPI assigned
Apr 8, 2008
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Jacqueline Lien, LPC
Title
Director
Phone
(541) 535-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NO NUMBER OR Primary

Addresses

Primary practice location

149 S Main St
Phoenix, OR 97535

Mailing address

PO Box 1257
Phoenix, OR 97535
Phone (541) 535-4133

National Provider Directory

National Provider Directory

Locations

149 S Main St
Phoenix, OR 97535
Phone (541) 535-4133

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/phoenixcounseling/r4/

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1376716571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1257",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "97535",
            "telephone_number": "541-535-4133",
            "fax_number": "541-535-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S MAIN ST",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "97535",
            "telephone_number": "541-535-4133",
            "fax_number": "541-535-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "LIEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-535-4133",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "NO NUMBER",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.