Ascending Phoenix Therapy LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ASCENDING PHOENIX THERAPY LLC

Practice address

4250 Martin Way E Ste 105-297
Olympia, WA 98516-5317

Phone

(509) 724-0053

NPI assigned

Aug 8, 2021

Organization subpart

No

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

Authorized official

Name

Ardis VanmeertenNPI 1255722302

Title

Therapist

Phone

(509) 724-0053

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ardis Vanmeerten, MA, LMHCA

  • Mental Health Counselor
  • Tacoma, WA
  • NPI 1255722302
  NPD Authorized official
• Kacie Lynne Plantenberg, MA, LMHC

  • Mental Health Counselor
  • Olympia, WA
  • NPI 1730853185
  NPD (past)

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1457025801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 MARTIN WAY E STE 105-297",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165317",
            "telephone_number": "509-724-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 MARTIN WAY E STE 105-297",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165317",
            "telephone_number": "509-724-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENDING PHOENIX THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "VANMEERTEN",
        "authorized_official_first_name": "ARDIS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "509-724-0053"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilynn Arrington
• Artes Tenebris
• Artful Expressions Speech Therapy and Voice Training
• Ross Andrew Artwohl, LICSW, LCSW
• Wanda Rae Asbury
• Tara Aschenbrenner, LPN
• Jennifer Lee Ash, ND
• Ava Asher, M.D.
• Annette Ashler
• Ashley House

• Multi-Specialty Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.