Organization Active NPI

Phoenix Rising LLC

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1851828909
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3394 Issued in MN
Legal business name
PHOENIX RISING LLC
Practice address
4570 W 77TH St Ste 225
Edina, MN 55435-5031
Phone
(612) 201-4686
NPI assigned
May 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Erin Weber McKeen, LMFTNPI 1689868390
Title
Marriage and Family Therapist
Phone
(612) 201-4686

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 3394 MN Primary

Addresses

Primary practice location

4570 W 77TH St Ste 225
Edina, MN 55435-5031

Mailing address

5229 Maddox LN
Edina, MN 55436-2602

Other names 1

  • The Art of Healing Doing business as

National Provider Directory

National Provider Directory

Locations

4570 77th St W
Ste 225
Edina, MN 55435
Phone (310) 351-2251

4570 77th St W
Ste 255
Minneapolis, MN 55435
Phone (612) 454-0138

Practitioners & affiliated clinicians

Practitioners 4

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": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1851828909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 MADDOX LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 W 77TH ST STE 225",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355031",
            "telephone_number": "612-201-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "MCKEEN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "WEBER",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "612-201-4686",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Art of Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.