Active NPI
Rising Phoenix Counseling & Associates
- Mental Health Counselor
- Saint Peters, MO
National Provider Identifier
1831755883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RISING PHOENIX COUNSELING & ASSOCIATES
- Practice address
- 5988 Mid Rivers Mall Dr
Saint Peters, MO 63304-7119 - Phone
- (636) 362-6292
- Fax
- (636) 441-6881
- NPI assigned
- May 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce Dubea
- Title
- Ceo
- Phone
- (636) 362-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5988 Mid Rivers Mall Dr
Saint Peters, MO 63304-7119
Mailing address
5988 Mid Rivers Mall Dr Ste 122
Saint Peters, MO 63304-7119
Phone (636) 362-6800
National Provider Directory
National Provider DirectoryLocations
5988 Mid Rivers Mall Dr
Saint Peters, MO 63304
Phone (314) 328-4136
5988 Mid Rivers Mall Dr
Ste 122
Saint Peters, MO 63304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580947200000",
"number": "1831755883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5988 MID RIVERS MALL DR STE 122",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633047119",
"telephone_number": "636-362-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5988 MID RIVERS MALL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633047119",
"telephone_number": "636-362-6292",
"fax_number": "636-441-6881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING PHOENIX COUNSELING & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-15",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A",
"authorized_official_last_name": "DUBEA",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "636-362-6800"
},
"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 Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.