NPIMap

Organization Active NPI

Phoenix Mental Health Counseling, LLC

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1508730169
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX MENTAL HEALTH COUNSELING, LLC
Practice address
1011 Columbine Dr Apt 1B
Frederick, MD 21701-9221
Phone
(240) 397-9623
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Benjamin HurlburtNPI 1366058539
Title
Owner/Clinical Director
Phone
(240) 397-9623

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1011 Columbine Dr Apt 1B
Frederick, MD 21701-9221

Mailing address

1011 Columbine Dr Apt 1B
Frederick, MD 21701-9221

National Provider Directory

National Provider Directory

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": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1508730169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 COLUMBINE DR APT 1B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 COLUMBINE DR APT 1B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019221",
            "telephone_number": "240-397-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "HURLBURT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-397-9623"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.