Organization Active NPI

Rising Phoenix Counseling Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
National Provider Identifier
1730946120
Registry record updated Mar 1, 2024
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
RISING PHOENIX COUNSELING ASSOCIATES
Practice address
29556 Southfield Rd Ste 150
Southfield, MI 48076-2071
Phone
(313) 293-7460
Fax
(313) 488-0131
NPI assigned
Mar 1, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Sherie Justine Posie, LPCNPI 1538769542
Title
Clinical Director
Phone
(313) 293-7460

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

29556 Southfield Rd Ste 150
Southfield, MI 48076-2071

Mailing address

19387 Yonka St
Detroit, MI 48234-1827
Phone (313) 293-7460

National Provider Directory

National Provider Directory

Locations

29556 Southfield Rd
Ste 150
Southfield, MI 48076
Phone (313) 293-7460

Practitioners & affiliated clinicians

Practitioners 1

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1730946120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19387 YONKA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341827",
            "telephone_number": "313-293-7460",
            "fax_number": "313-488-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29556 SOUTHFIELD RD STE 150",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762071",
            "telephone_number": "313-293-7460",
            "fax_number": "313-488-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "POSIE",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_middle_name": "JUSTINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-293-7460",
        "authorized_official_credential": "LPC"
    },
    "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 Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.