Phoenix Associates Counseling Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1656-3039 Issued in TX

Legal business name

PHOENIX ASSOCIATES COUNSELING SERVICES, INC.

Practice address

801 Road to Six Flags W Ste 132
Arlington, TX 76012-2600

Phone

(817) 795-3030

Fax

(817) 795-3099

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

David J Cudmore

Title

Director of Development

Phone

(817) 338-0311

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Phoenix Associates Counseling Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Associates Counseling Services Inc

  dba Ascendus Behavioral Health

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1285079517
  NPD tax ID
• Phoenix Associates Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Fort Worth, TX
  • NPI 1982836250
  NPD tax ID

Locations

Practitioners 1

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

• Mark R Dehart, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Arlington, TX
  • NPI 1386157790
  NPD (past)

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629320478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W 5TH ST",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078900",
            "telephone_number": "817-338-0311",
            "fax_number": "817-332-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W STE 132",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122600",
            "telephone_number": "817-795-3030",
            "fax_number": "817-795-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ASSOCIATES COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "CUDMORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF DEVELOPMENT",
        "authorized_official_telephone_number": "817-338-0311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "1656-3039",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "1656-3039",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "1656-3039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212971001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Phillips
• Michael Wayne Phillips, D.C.
• Paige Phillips
• Sadie Phillips
• Tierney Phillips, MD
• Phoenix Hospice, LP
• Phoenix Smiles, PLLC
• Phoenix Therapy & Wellness, LLC
• Physical Educator
• Physician Assistant Services of Texas Orthopedic Spine Arlington LLLP

• Community/Behavioral Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.