PHOENIX STAR
NPI 1003779687
Counselor - Mental Health in Seattle, WA
About Phoenix Star NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX STAR (NPI 1003779687) is an individual mental health provider in Seattle, Washington and active in the NPI registry since December 2025. She maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phoenix Star's NPI number?
The NPI number for Phoenix Star is 1003779687. It was assigned to this individual provider in the NPPES registry on December 9, 2025.
Where is Phoenix Star located?
Phoenix Star practices at 4219 SW Juneau St, Seattle, WA 98136. The listed phone number is (206) 207-5395.
What is Phoenix Star's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Phoenix Star was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
