Rising Phoenix Therapeutic Community & Rescue Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RISING PHOENIX THERAPEUTIC COMMUNITY & RESCUE CENTER

Practice address

444 S Center St
Casper, WY 82601-2826

Phone

(307) 251-1852

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By 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

Dr. Crystal D Nelson, PHD, NCC, LPC, CCTP-NPI 1023779352

Title

Founder/Director

Phone

(307) 251-1852

Specialties & licenses 2

Addresses

Other names 1

• Rising Phoenix Other name

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.

• Crystal D. Nelson, PHD, NCC, LPC CCTP-I

  • Professional Counselor
  • Casper, WY
  • NPI 1023779352
  NPD Authorized official

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1891527057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S CENTER ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012826",
            "telephone_number": "307-251-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S CENTER ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012826",
            "telephone_number": "307-251-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX THERAPEUTIC COMMUNITY & RESCUE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "307-251-1852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, NCC, LPC, CCTP-"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Phoenix",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Rieker, RN
• Angel Jo Rietz
• Gwendi Rietz, LPN
• Leanora Dawn Rimmer, B.A.
• Trisha Lynn Rinker, APRN
• Joanne E Risser Hicks, MS LPC NCC
• Ashton Dawn Ritchison, AUD
• Jessie Ritter, PHARMD
• Tracy Lynn Robbins, NPC
• Robert a Vigneri

• Substance Abuse Rehabilitation Facility in Casper, WY
• Providers in Casper, WY by specialty
• Substance Abuse Rehabilitation Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.