Phoenix Partners NC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PHOENIX PARTNERS NC

Practice address

7621 Purfoy Rd Ste 210
Fuquay Varina, NC 27526-6985

Phone

(833) 749-4584

Fax

(919) 205-9919

NPI assigned

Oct 11, 2020

Organization subpart

No

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

Authorized official

Name

Alicia Peton, LCMHC, LCASNPI 1194041962

Title

Founding Therapist

Phone

(919) 480-0101

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Alicia Ivana Peton, M.S., LCMHC

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1194041962
  NPD Authorized official
• Jennifer Dianne Conrad

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1447007570
  NPD
• Lana Sampson, MS, PH.D.

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1205523131
  NPD
• Elizabeth Tice, LCMHCA

  • Counselor
  • Fayetteville, NC
  • NPI 1912766411
  NPD (past)

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1598363780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621 PURFOY RD STE 210",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275266985",
            "telephone_number": "919-480-0101",
            "fax_number": "919-205-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 PURFOY RD STE 210",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275266985",
            "telephone_number": "833-749-4584",
            "fax_number": "919-205-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PARTNERS NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "PETON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "FOUNDING THERAPIST",
        "authorized_official_telephone_number": "919-480-0101",
        "authorized_official_credential": "LCMHC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally A Peters, CSW
• Bridget Ann Peterson, OTRL
• Alicia Ivana Peton, M.S., LCMHC
• Lori Johnson Petree, DDS
• Chante Dominique Pettiford, DPT
• Pinecrest Chiropractic PLLC
• Jordan Pittman
• Matthew Riggs Pittman
• Sophie Pittman
• Jennifer Shugars Podgurski, PA-C

• Mental Health Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.