NPIMap

Organization Active NPI

Phenomenal U PLLC

  • Counselor
  • Irving, TX
National Provider Identifier
1902582133
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PHENOMENAL U PLLC
Practice address
1071 Lake Carolyn Pkwy Apt 3089
Irving, TX 75039-4868
Phone
(469) 830-2848
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Skye Alexia Glover, LPC, LPC-ANPI 1760168983
Title
Owner, Therapist
Phone
(469) 830-2848

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1071 Lake Carolyn Pkwy Apt 3089
Irving, TX 75039-4868

Mailing address

1071 Lake Carolyn Pkwy Apt 3089
Irving, TX 75039-4868
Phone (469) 830-2848

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1902582133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 LAKE CAROLYN PKWY APT 3089",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394868",
            "telephone_number": "469-830-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 LAKE CAROLYN PKWY APT 3089",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394868",
            "telephone_number": "469-830-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL U PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "SKYE",
        "authorized_official_middle_name": "ALEXIA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "469-830-2848",
        "authorized_official_credential": "LPC, LPC-A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.