Active NPI
Phoenix Counseling
- Mental Health Counselor
- Moorhead, MN
National Provider Identifier
1861215865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PHOENIX COUNSELING
- Practice address
- 725 Center Ave Ste 3
Moorhead, MN 56560-1972 - Phone
- (218) 366-6162
- NPI assigned
- Nov 6, 2024
- 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
- Marsha M Wichmann, MA, LPCC, LADC, LAC
- Title
- Co-Owner
- Phone
- (701) 367-1079
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
725 Center Ave Ste 3
Moorhead, MN 56560-1972
Mailing address
725 Center Ave Ste 3
Moorhead, MN 56560-1972
Phone (218) 366-6162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
725 Center Ave
Ste 3
Moorhead, MN 56560
Phone (218) 366-6162
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Moorhead, MN
- NPI 1073901666
-
- Mental Health Counselor
- Moorhead, MN
- NPI 1649924200
-
- Mental Health Counselor
- Moorhead, MN
- NPI 1750032306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1861215865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 CENTER AVE STE 3",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565601972",
"telephone_number": "218-366-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 CENTER AVE STE 3",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565601972",
"telephone_number": "218-366-6162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "WICHMANN",
"authorized_official_first_name": "MARSHA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "701-367-1079",
"authorized_official_credential": "MA, LPCC, LADC, LAC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.