Organization Active NPI

The Phoenix House Recovery & Wellness LLC.

  • Addiction (Substance Use Disorder) Counselor
  • Glen Lyon, PA
National Provider Identifier
1588509947
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
THE PHOENIX HOUSE RECOVERY & WELLNESS LLC.
Practice address
139 E Main St
Glen Lyon, PA 18617-1320
Phone
(570) 262-3268
Fax
(570) 262-3268
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Ashlynn Heller
Title
Owner
Phone
(570) 262-3268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

139 E Main St
Glen Lyon, PA 18617-1320

Mailing address

139 E Main St
Glen Lyon, PA 18617-1320
Phone (570) 262-3268

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1588509947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E MAIN ST",
            "city": "GLEN LYON",
            "state": "PA",
            "postal_code": "186171320",
            "telephone_number": "570-262-3268",
            "fax_number": "570-262-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E MAIN ST",
            "city": "GLEN LYON",
            "state": "PA",
            "postal_code": "186171320",
            "telephone_number": "570-262-3268",
            "fax_number": "570-262-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX HOUSE RECOVERY & WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "ASHLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-262-3268"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Lyon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.