Phoenix Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PHOENIX COUNSELING SERVICES LLC

Practice address

103 Carnegie Ctr Ste 120
Princeton, NJ 08540-6235

Phone

(609) 456-1576

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Ciccone, LPCNPI 1760974646

Title

Owner

Phone

(609) 456-1576

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Counseling Services LLC Doing business as

Locations

Practitioners 1

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

• Nicole Ciccone, LPC

  • Counselor
  • Princeton, NJ
  • NPI 1760974646
  NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1962025130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6564",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086480564",
            "telephone_number": "609-456-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARNEGIE CTR STE 120",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406235",
            "telephone_number": "609-456-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-456-1576",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Curtis Peterson, MD
• Michaela Kathryn Petito, PA-C
• Ziva Petrin, M.D.
• Phillips Psychiatric & Mental Health LLC
• Maryann Buckley Phinney, MD
• Pibcoa of Princeton, LLC
• Robert L Pickens, M.D.
• David Shawn Pierson, M.D.
• Joseph Dean Pierson, MD
• Anne Pieters

• Professional Counselor in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.