Phoenix Ries, MS,LPC
Individual provider Active NPI Professional Counselor · Philomath, OR
NPI 1437201357 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437201357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C1015 (OR)
- Practice address
- 1322 Main St.
Philomath, OR 97370 - Phone
- (541) 929-5065
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1015 | OR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1015 | OR | Yes |
Addresses
Primary practice location
1322 Main St.
Philomath, OR 97370
Mailing address
PO Box 1394
Philomath, OR 97370-1394
Phone (541) 929-5065
Other providers in Philomath, OR
- Philomath Family Medicine, P.C.
- Philomath Fire & Rescue
- Victoria Pohl
- Elias Daniel Rademacher
- Jamie Raffety
- Rachel Ann Roberts
- Ashlee Nicole Roderick
- Ronnie Hansen Therapy LLC
- Daniel Paul Rooke
- Rosemary Ayres, Ms, CCC-SLP
All providers in Philomath, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.