Organization Active NPI

Awakened Phoenix Healing LLC

  • Mental Health Counselor
  • Worthington, OH
National Provider Identifier
1801758586
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AWAKENED PHOENIX HEALING LLC
Practice address
500 W Wilson Bridge Rd Ste 75
Worthington, OH 43085-2238
Phone
(614) 636-2583
Fax
(614) 358-2582
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Sarah Phoenix, CNPNPI 1235449349
Title
Owner
Phone
(614) 636-2583

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

500 W Wilson Bridge Rd Ste 75
Worthington, OH 43085-2238

Mailing address

500 W Wilson Bridge Rd Ste 75
Worthington, OH 43085-2238
Phone (614) 636-2583

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2342926Awakened Phoenix Healing, LLC500 W Wilson Bridge Rd Ste 75, Worthington, OH 43085Certificate of waiverApr 28, 2028

National Provider Directory

National Provider Directory

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": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1801758586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD STE 75",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-636-2583",
            "fax_number": "614-358-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD STE 75",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-636-2583",
            "fax_number": "614-358-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENED PHOENIX HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "PHOENIX",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-636-2583",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.