Phoenix Soaring Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PHOENIX SOARING COUNSELING LLC

Practice address

600 Rodeo Dr # 201
Erlanger, KY 41018-1279

Phone

(859) 957-8080

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Linda Anika SmithNPI 1427564350

Title

Owner

Phone

(859) 365-0095

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Linda Anika Smith, LISW-S

  • Clinical Social Worker
  • Erlanger, KY
  • NPI 1427564350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1760170955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RODEO DR # 201",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181279",
            "telephone_number": "859-957-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RODEO DR # 201",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181279",
            "telephone_number": "859-957-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SOARING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-365-0095"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anikasmith@phoenixsoaringcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 Rodeo Dr # 201",
            "city": "Erlanger",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410181279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ami Shreyash Patel, APRN, FNP-C
• Bhoomika Patel
• Julie Ann Pauly, PT
• James Petry
• Ava Phelps
• Krystal Ann Plumitallo, CSW
• Brent A Plummer, APRN, MSN, PMHNP-BC
• Podiatry of Hamilton Inc
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• Point Pleasant Fire Protection District

• Clinical Social Worker in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.