Phoenix Rising Counseling & Consulting

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHOENIX RISING COUNSELING & CONSULTING

Practice address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Phone

(414) 690-0672

NPI assigned

Feb 4, 2022

Last updated

Feb 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonyetta L Ross, MS, CSAC, LPC, SAP,NPI 1003132473

Title

Director

Phone

(414) 690-0672

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tonyetta L Ross, LPC, CSAC

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1003132473
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1619621091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W CLAYTON CREST AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532213830",
            "telephone_number": "414-690-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "414-690-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TONYETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-690-0672",
        "authorized_official_credential": "MS, CSAC, LPC, SAP,"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12088599",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gillian K Philo
• Philomena Street PLLC
• Dianne Tyler Philp, DMD
• Phlebotomist on Wheels (Pow)
• Phoenix Counseling Associates
• Phoenix Thriving, PLLC
• Alisa Phommavong
• Megan Thu Phu, OD
• Physical Medicine and Rehabilitation Associates
• Physical Therapy & Feldenkrais Austin PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.