NPIMap

Organization Active NPI

Phoenix Counseling Service, Inc.

  • Community/Behavioral Health Agency
  • Seffner, FL
National Provider Identifier
1689347130
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHOENIX COUNSELING SERVICE, INC.
Practice address
107 S Taylor Rd
Seffner, FL 33584-4203
Phone
(352) 389-1816
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Keira Thomas
Title
Cfo
Phone
(813) 956-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

107 S Taylor Rd
Seffner, FL 33584-4203

Mailing address

107 S Taylor Rd
Seffner, FL 33584-4203
Phone (813) 956-5059

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Counseling Service Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1689347130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S TAYLOR RD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844203",
            "telephone_number": "813-956-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S TAYLOR RD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844203",
            "telephone_number": "352-389-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-956-5059"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.