Phoenix Rising Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PHOENIX RISING COUNSELING SERVICES, LLC

Practice address

114 Bay Street
Suite a
Manchester, NH 03104

Phone

(603) 668-1100

Fax

(603) 668-1105

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By 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

Ms. Paula Marcia Randall, MA, LCMHC

Title

Manager/Owner

Phone

(603) 668-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1386036622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BAY STREET",
            "address_2": "SUITE A",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-668-1100",
            "fax_number": "603-668-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BAY STREET",
            "address_2": "SUITE A",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-668-1100",
            "fax_number": "603-668-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "MARCIA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "603-668-1100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Terese Philion, LICSW
• Kerlande Philippe
• Dana Rosa Phillips, APRN, MSN, FNP-C
• Megan Rhiane Phillips
• Tia Taquesta Phillips
• Helen Phoenix, LCMHC
• Gene R Piana, DDS
• Sarah Picard
• Francis J Piccione, D.O.
• Diana Piche, BS

• Mental Health Counselor in Manchester, NH
• Providers in Manchester, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.