Phoenix Rising Therapy Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PHOENIX RISING THERAPY CENTER

Practice address

2520 Saint Rose Pkwy Ste 221
Henderson, NV 89074-7789

Phone

(702) 376-5842

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gemma Grace Rivera, LMFT, LCPC, LCADCNPI 1114337813

Title

Co-Founder

Phone

(702) 379-6645

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Gemma Rivera, LCPC , LMFT, LCADC

  • Marriage & Family Therapist
  • Henderson, NV
  • NPI 1114337813

  Mental Health

  NPD (past) Authorized official
• Mishelle Segur, LMFT, LCADC

  • Marriage & Family Therapist
  • Henderson, NV
  • NPI 1285858035
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1770142051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY STE 221",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747789",
            "telephone_number": "702-376-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY STE 221",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747789",
            "telephone_number": "702-376-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "702-379-6645",
        "authorized_official_credential": "LMFT, LCPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Phillips
• Stephanie Cherie Phillips
• Vanessa Phillips
• Phoenix Foundation of Nevada
• Phoenix Rising Nevada
• Sean Naroung Phorn
• Courtney Phyfer, FNP-BC
• Tamika Boulware Phyfer, PA-C
• Physician Associates of Nevada LTD
• Physician Management Services of Nevada II, LLC

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.