Phoenix Counseling Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PHOENIX COUNSELING SERVICES LLC

Practice address

8700 US Highway 380 Ste 502
Crossroads, TX 76227-2661

Phone

(469) 290-2353

NPI assigned

Sep 7, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Delaine Johnson, MS, LPCNPI 1194146050

Title

Owner

Phone

(469) 290-2353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delaine Johnson

  • Addiction (Substance Use Disorder) Counselor
  • Trenton, NJ
  • NPI 1194146050
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1871262519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 US HIGHWAY 380 STE 502",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272661",
            "telephone_number": "469-290-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 US HIGHWAY 380 STE 502",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272661",
            "telephone_number": "469-290-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-290-2353",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194146050",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danesa Nunez, DMD
• Esther Njambi Nyamongo, NP
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• Olayinka Oguntodu
• Ginger R Outlaw, FNP-BC
• PKSK Dental PLLC (Asana Dental)
• Nicole Pugsley
• Pure Theory Implant Services LLC
• Claudia Veronica Pyland
• Rebecca Gail Torres-West (Crossroads Counseling)

• Adult Mental Health Clinic/Center in Crossroads, TX
• Providers in Crossroads, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.