Organization Active NPI

Phoenix Rising Nevada

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1891686119
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX RISING NEVADA
Practice address
5880 Boulder Falls St Apt 2033
Henderson, NV 89011-4962
Phone
(702) 203-0743
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
James Mancefield High IVNPI 1568892651
Title
Owner
Phone
(702) 203-0743

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5880 Boulder Falls St Apt 2033
Henderson, NV 89011-4962

Mailing address

5880 Boulder Falls St Apt 2033
Henderson, NV 89011-4962
Phone (702) 203-0743

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1891686119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 BOULDER FALLS ST APT 2033",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114962",
            "telephone_number": "702-203-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 BOULDER FALLS ST APT 2033",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114962",
            "telephone_number": "702-203-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "HIGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MANCEFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-203-0743",
        "authorized_official_name_suffix": "IV"
    },
    "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 Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.