Organization Active NPI

Rising Phoenix Wellness Center, LLC

  • Clinical Social Worker
  • Urbandale, IA
National Provider Identifier
1992664981
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISING PHOENIX WELLNESS CENTER, LLC
Practice address
2330 Rocklyn Dr
Urbandale, IA 50322-4935
Phone
(515) 517-0605
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Annie Kay Von, LISW, MSW
Title
Psychotherapist & Clinical Director
Phone
(515) 517-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2330 Rocklyn Dr
Urbandale, IA 50322-4935

Mailing address

2330 Rocklyn Dr
Urbandale, IA 50322-4935
Phone (515) 517-0605

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": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1992664981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 ROCKLYN DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224935",
            "telephone_number": "515-517-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 ROCKLYN DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224935",
            "telephone_number": "515-517-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "VON",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "515-517-0605",
        "authorized_official_credential": "LISW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.