NPIMap

Organization Active NPI

Phoenix Rising Wellness Center of Corpus Christi, PLLC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1659950343
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX RISING WELLNESS CENTER OF CORPUS CHRISTI, PLLC
Practice address
5934 S Staples St Ste 230
Corpus Christi, TX 78413-3800
Phone
(361) 739-1679
Fax
(361) 239-4286
NPI assigned
Apr 7, 2021
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
James P Ikonomopoulos, PH-D, LPCNPI 1477892081
Title
Owner
Phone
(361) 425-4684

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

5934 S Staples St Ste 230
Corpus Christi, TX 78413-3800

Mailing address

PO Box 181459
Corpus Christi, TX 78480-1459
Phone (361) 739-1679

Other practice location 1

5934 S Staples St Ste 206
Corpus Christi, TX 78413-3842
Phone (361) 739-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231128000251 TX Part B Supplier - Clinic/Group Practice 0547618845 Receives reassigned benefits from 3 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

4646 Corona Dr
Ste 140
Corpus Christi, TX 78411
Phone (361) 946-2256

5934 S Staples St
Ste 206
Corpus Christi, TX 78413
Phone (361) 739-1679

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1659950343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181459",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784801459",
            "telephone_number": "361-739-1679",
            "fax_number": "361-239-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST STE 230",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133800",
            "telephone_number": "361-739-1679",
            "fax_number": "361-239-4286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5934 S Staples St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784133842",
            "country_code": "US",
            "telephone_number": "361-739-1679",
            "fax_number": "361-239-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX RISING WELLNESS CENTER OF CORPUS CHRISTI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "IKONOMOPOULOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-425-4684",
        "authorized_official_credential": "PH-D, LPC"
    },
    "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 Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.