Organization Active NPI

Phoenix Counseling and Recovery Services, LLC

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1477065415
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCAS-22298 Issued in NC
Legal business name
PHOENIX COUNSELING AND RECOVERY SERVICES, LLC
Practice address
1102 Kindley St
Greensboro, NC 27406-4213
Phone
(336) 458-7135
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Sardie Rochelle Izzard, LCSW-ANPI 1154613354
Title
Owner/ Therapist
Phone
(336) 458-7135

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCAS-22298 NC Primary

Addresses

Primary practice location

1102 Kindley St
Greensboro, NC 27406-4213

Mailing address

1102 Kindley St
Greensboro, NC 27406-4213
Phone (336) 458-7135

National Provider Directory

National Provider Directory

Locations

405 Battleground Ave
Ste 203
Greensboro, NC 27401

Practitioners & affiliated clinicians

Practitioners 1

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1477065415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 KINDLEY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064213",
            "telephone_number": "336-458-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 KINDLEY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064213",
            "telephone_number": "336-458-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING AND RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "IZZARD",
        "authorized_official_first_name": "SARDIE",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "336-458-7135",
        "authorized_official_credential": "LCSW-A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "LCAS-22298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.