Phoenix Programs, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001046 Issued in MO

Legal business name

PHOENIX PROGRAMS, INC.

Practice address

90 E. Leslie LN.
Columbia, MO 65202

Phone

(573) 875-8880

Fax

(573) 442-3830

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Paula K Caldwell, LPC

Title

Counselor

Phone

(573) 875-8880

Specialties & licenses 1

Addresses

Tax ID family

Phoenix Health Programs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbia, MO
  • NPI 1265757991
  NPD tax ID
• Phoenix Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbia, MO
  • NPI 1437213634
  NPD tax ID
• Phoenix Programs, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1912354572
  NPD tax ID

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1851873608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E. LESLIE LN.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65202",
            "telephone_number": "573-875-8880",
            "fax_number": "573-442-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E. LESLIE LN.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65202",
            "telephone_number": "573-875-8880",
            "fax_number": "573-442-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "573-875-8880",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lee Phillips
• Nicholas Philpot, ATC
• Phoenix Home Care, Inc.
• Phoenix Programs, Inc.
• Phoenix Programs, Inc.
• Phoenix Programs, Inc.
• Physician Groups LC
• Physician Groups LC
• Physician Groups LC
• Physicians Home Health & Infusion PC

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.