Organization Active NPI

Rising Phoenix Counseling & Associates

  • Mental Health Counselor
  • Saint Peters, MO
National Provider Identifier
1831755883
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 6, 2020

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.