NPIMap

Organization Active NPI

Phoenix Counseling Center LLC

  • Mental Health Counselor
  • North Ridgeville, OH
National Provider Identifier
1992426050
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX COUNSELING CENTER LLC
Practice address
33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone
(440) 732-5252
Fax
(440) 271-2003
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Miss Shaina Duffy, LPCCNPI 1760895445
Title
Owner
Phone
(440) 732-5252

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

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670

Mailing address

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670
Phone (440) 732-5252

Other practice location 1

23550 Center Ridge Rd Ste 102
Westlake, OH 44145-3655
Phone (440) 732-5252

Other practice location 2

6180 Emerald St
North Ridgeville, OH 44039-2048
Phone (440) 732-5252

Other names 1

  • The Phoenix Counseling Center LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shaina@myphxcenter.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Counseling Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6180 Emerald St
North Ridgeville, OH 44039
Phone (216) 327-7372

Interoperability endpoints

  • Direct secure messaging: shaina@myphxcenter.com

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1992426050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23550 Center Ridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441453655",
            "country_code": "US",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6180 Emerald St",
            "address_purpose": "LOCATION",
            "city": "North Ridgeville",
            "state": "OH",
            "postal_code": "440392048",
            "country_code": "US",
            "telephone_number": "440-732-5252",
            "fax_number": "440-271-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-732-5252",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shaina@myphxcenter.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "33480 Liberty Pkwy",
            "city": "North Ridgeville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440392670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Phoenix Counseling Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.