Active NPI
Phoenix Rising Counseling and Wellness LLC
- Mental Health Counselor
- Charleston, WV
National Provider Identifier
1972441517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PHOENIX RISING COUNSELING AND WELLNESS LLC
- Practice address
- 1002 Lee St E # 11
Charleston, WV 25301-1700 - Phone
- (304) 691-9379
- NPI assigned
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Sue Massie, MA, LPC
- Title
- Owner/Therapist
- Phone
- (304) 691-9379
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1002 Lee St E # 11
Charleston, WV 25301-1700
Mailing address
1002 Lee St E # 11
Charleston, WV 25301-1700
Phone (304) 691-9379
National Provider Directory
National Provider DirectoryLocations
1002 Lee St E
#11
Charleston, WV 25301
Phone (304) 691-9379
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- South Charleston, WV
- NPI 1477106490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1972441517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 LEE ST E # 11",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011700",
"telephone_number": "304-691-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 LEE ST E # 11",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011700",
"telephone_number": "304-691-9379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX RISING COUNSELING AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "MASSIE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "304-691-9379",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.