Phoenix Counseling and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHOENIX COUNSELING AND WELLNESS, LLC

Practice address

604 35TH Ave
Moline, IL 61265-6174

Phone

(309) 363-2060

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

L Michelle Howlett, LCPC

Title

Lead Therapist/Owner

Phone

(309) 363-2060

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lora Michelle Miner, LCPC

  • Mental Health Counselor
  • Geneseo, IL
  • NPI 1396882262
  NPD

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1851914816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 LONGVIEW DR",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612549111",
            "telephone_number": "309-363-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656174",
            "telephone_number": "309-363-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "HOWLETT",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LEAD THERAPIST/OWNER",
        "authorized_official_telephone_number": "309-363-2060",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda M Peterson, ACNP
• Erin Leigh Petree, L.C.P.C.
• Brittnie Kole Phillips, LCSW
• Jo Ellyn Phillips, OTR/L
• Stepheni Lynn Phillips, PHARMACY TECHNICIAN
• Andrea M Piasecki, PT
• Jennifer Sue Pielak, MSW
• Jennifer Lynn Piester, LCSW
• Megan Elizabeth Pikuza, FNP-C
• Cynthia Pile, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Moline, IL
• Providers in Moline, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.