Phoenix Mental Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHOENIX MENTAL HEALTH SERVICES

Practice address

298 24TH St # 310
Ogden, UT 84401-1431

Phone

(385) 251-7285

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Alisa Roberts, LMFTNPI 1568899227

Title

Owner

Phone

(385) 251-7285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Alisa Roberts, AMFT

  • Marriage & Family Therapist
  • Ogden, UT
  • NPI 1568899227
  Medicare reassignment NPD Authorized official
• Shanua Buck

  • Counselor
  • Brigham City, UT
  • NPI 1003119249
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1811614811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 24TH ST # 310",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011431",
            "telephone_number": "385-251-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 24TH ST # 310",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011431",
            "telephone_number": "385-251-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-251-7285",
        "authorized_official_credential": "LMFT"
    },
    "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": []
}

• Philip B. Johnson, M.S., P.C.
• Daniel Barratt Phillips, LCMHC
• Krystle Phillips
• S Douglas Phillips, MD
• Terry Lynn Phillips, NP
• Greg M. Pickett, O.D.
• Dee Justin Pierce, PHARMD
• Joanna Janeen Pierce, CM
• Megan S. Pierce, MD
• Nathan Pierce

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ogden, UT
• Providers in Ogden, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.