Organization Active NPI

Phoenix Rising Counseling LLC

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1396387171
Registry record updated Oct 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX RISING COUNSELING LLC
Practice address
2535 Madison St Ste E
Clarksville, TN 37043-3921
Phone
(931) 266-0015
NPI assigned
Oct 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2019

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

Authorized official

Name
Ms. Jennifer Dressler, LPC-MHSPNPI 1073893012
Title
Manager
Phone
(931) 266-0018

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2535 Madison St Ste E
Clarksville, TN 37043-3921

Mailing address

2535 Madison St Ste E
Clarksville, TN 37043-3921
Phone (931) 266-0018

National Provider Directory

National Provider Directory

Locations

2535 Madison St
Ste E
Clarksville, TN 37043
Phone (931) 218-6418

Practitioners & affiliated clinicians

Practitioners 2

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": "1570838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570838400000",
    "number": "1396387171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 MADISON ST STE E",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433921",
            "telephone_number": "931-266-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 MADISON ST STE E",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433921",
            "telephone_number": "931-266-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-12",
        "last_updated": "2019-10-12",
        "status": "A",
        "authorized_official_last_name": "DRESSLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-266-0018",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; 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.