Phoenix Rising Psychotherapy, LLC
Social Worker, Clinical in Phillipsburg, New Jersey
1659278364- Practice location
- 402 Coventry Dr, Phillipsburg, NJ 08865-1969
- Phone
- 908-627-0605
- Fax
- —
- Last updated
- October 26, 2026
Phoenix Rising Psychotherapy, LLC is a healthcare organization based in Phillipsburg, NJ. Phoenix Rising Psychotherapy, LLC practices in Phillipsburg, NJ. The NPI Number for Phoenix Rising Psychotherapy, LLC is 1659278364. The current practice location address for Phoenix Rising Psychotherapy, LLC is 402 Coventry Dr, Phillipsburg, NJ 08865-1969 and can be reached out via phone at 908-627-0605.
Provider Profile Details
- NPI Number
- 1659278364
- Provider Name
- Phoenix Rising Psychotherapy, LLC
- Provider Entity Type
- Organization
- Address
- 402 Coventry Dr, Phillipsburg, NJ 08865-1969
- Phone Number
- 908-627-0605
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Kayla L Tarazona, MSW, LCSW · Owner And LCSW · 908-627-0605
- Provider Enumeration Date
- October 26, 2026
- Last Update Date
- October 26, 2026
- Certification Date
- October 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 402 Coventry Dr
Phillipsburg, NJ 08865-1969 - City
- Phillipsburg
- State
- New Jersey
- Zip
- 08865-1969
- Phone Number
- 908-627-0605
Provider Business Mailing Address Details
- Address
- 62 Brass Castle RD
Washington, NJ 07882-4329 - City
- Washington
- State
- NJ
- Zip
- 07882-4329
- Phone Number
- 908-627-0605
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
- Taxonomy (3)
- Social Worker · 104100000X
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Phillipsburg, NJ
View all Social Worker, Clinical providers in Phillipsburg →Frequently Asked Questions
What is the NPI number of Phoenix Rising Psychotherapy, LLC?
The NPI number of Phoenix Rising Psychotherapy, LLC is 1659278364. It was assigned on October 26, 2026 and is currently active in the NPPES registry.
What is the specialty of Phoenix Rising Psychotherapy, LLC?
Phoenix Rising Psychotherapy, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Phoenix Rising Psychotherapy, LLC practice?
The practice location is 402 Coventry Dr, Phillipsburg, NJ 08865-1969. The office can be reached at 908-627-0605 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659278364 directly on the NPPES registry website.