Organization Active NPI

Phoenix Rising Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mechanicsville, VA
National Provider Identifier
1720966625
Registry record updated Aug 27, 2025
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 RISING THERAPY CENTER
Practice address
7459 Old Hickory Dr
Mechanicsville, VA 23111-3631
Phone
(804) 730-2348
Fax
(804) 207-8853
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Ms. Sandra JenkinsNPI 1346334927
Title
Owner
Phone
(804) 730-2348

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

7459 Old Hickory Dr
Mechanicsville, VA 23111-3631

Mailing address

7459 Old Hickory Dr
Mechanicsville, VA 23111-3631
Phone (804) 730-2348

Other names 1

  • Phoenix Rising Therapy Center, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

7459 Old Hickory Dr
Mechanicsville, VA 23111
Phone (804) 730-2348

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": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1720966625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 OLD HICKORY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113631",
            "telephone_number": "804-730-2348",
            "fax_number": "804-207-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7459 OLD HICKORY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113631",
            "telephone_number": "804-730-2348",
            "fax_number": "804-207-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-730-2348",
        "authorized_official_name_prefix": "Ms."
    },
    "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": [
        {
            "organization_name": "Phoenix Rising Therapy Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.