Organization Active NPI

Pheonix Transformation LLC

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1811732944
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHEONIX TRANSFORMATION LLC
Practice address
8361 N Main St
Dayton, OH 45415-1602
Phone
(614) 778-3132
NPI assigned
Jun 29, 2024
Last updated
Jun 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Abukar Arman
Title
Diroctor
Phone
(614) 778-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8361 N Main St
Dayton, OH 45415-1602

Mailing address

2384 Willis Rd
Dublin, OH 43016-8949
Phone (614) 778-3132

National Provider Directory

National Provider Directory

Locations

8361 N Main St
Dayton, OH 45415
Phone (614) 778-3132

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1811732944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 WILLIS RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168949",
            "telephone_number": "614-778-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151602",
            "telephone_number": "614-778-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHEONIX TRANSFORMATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "ARMAN",
        "authorized_official_first_name": "ABUKAR",
        "authorized_official_title_or_position": "DIROCTOR",
        "authorized_official_telephone_number": "614-778-3132"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.