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PHOENIX RISING
NPI 1215702238
Clinic/Center - Recovery Care in Salt Lake City, UT

Active since November 20, 2023
392 E 3900 S, SALT LAKE CITY, UT 84107(801) 425-2921 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Rising NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RISING (NPI 1215702238) is a healthcare organization registered as a recovery care in Salt Lake City, Utah and active in the NPI registry since November 2023. The organization lists Ryan Evans, House Director, as its authorized official.

NPPES Registry Identity

NPI1215702238
Entity TypeOrganization
Primary Taxonomy261QR0800X
Legal Business NamePHOENIX RISING
Location Address392 E 3900 SSalt Lake City, UT 84107-1615
Mailing Address392 E 3900 SSalt Lake City, UT 84107-1615 · (801) 425-2921
Phone(801) 425-2921
Organization SubpartNo
Authorized OfficialRyan EvansHouse Director · (801) 425-2921
Enumeration DateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1215702238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
392 E 3900 S, Salt Lake City, UT 84107
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFF LYNN PENROSE
Case Manager/Care Coordinator
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 856-7799
COURTNEY AVERETT SUDC
Counselor (Addiction (Substance Use Disorder))
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 259-1944
MARISSA PENROSE
Case Manager/Care Coordinator
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (385) 347-5303
PHOENIX RISING TREATMENT, LLC.
Substance Abuse Rehabilitation Facility
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 856-7799
RYAN EVANS
Case Manager/Care Coordinator
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 425-2921

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 Rising's NPI number?

The NPI number for Phoenix Rising is 1215702238. It was assigned to this organization in the NPPES registry on November 20, 2023.

Where is Phoenix Rising located?

Phoenix Rising is located at 392 E 3900 S, Salt Lake City, UT 84107. The listed phone number is (801) 425-2921.

What is Phoenix Rising's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

When was this NPI record last updated?

The NPPES record for Phoenix Rising was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.