NPIMap

Organization Active NPI

Phoenix Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Ridgeville, OH
National Provider Identifier
1700510781
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PHOENIX COUNSELING CENTER LLC
Practice address
33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone
(440) 732-5252
Fax
(440) 271-2003
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Shaina Duffy, LPCCNPI 1760895445
Title
Owner
Phone
(440) 732-5252

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670

Mailing address

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone (440) 732-5252

Other practice location 1

6180 Emerald St
North Ridgeville, OH 44039-2048
Phone (440) 732-5252

Other practice location 2

23350 Center Ridge Rd Ste 102
Westlake, OH 44145
Phone (440) 732-5252

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Counseling Center LLC3 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.

Locations

33480 Liberty Pkwy
North Ridgeville, OH 44039
Phone (440) 732-5252

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1700510781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6180 Emerald St",
            "address_purpose": "LOCATION",
            "city": "North Ridgeville",
            "state": "OH",
            "postal_code": "440392048",
            "country_code": "US",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23350 Center Ridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "44145",
            "country_code": "US",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-732-5252",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.