PHOENIX RISING THERAPY, LLC
NPI 1235740929
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since August 14, 2020
4424 NE GLISAN ST STE 22, PORTLAND, OR 97213(541) 321-0788(541) 735-9465 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2024, Aug 19, 2024, Sep 6, 2023 and 3 more (6 updates tracked since 2020).

About Phoenix Rising Therapy, Llc NPPES

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

PHOENIX RISING THERAPY, LLC (NPI 1235740929) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since August 2020. The organization lists Cara Freudenberg, Licensed Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1235740929
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePHOENIX RISING THERAPY, LLC
Location Address4424 NE GLISAN ST STE 22Portland, OR 97213-2331
Mailing Address4424 Ne Glisan St Ste 22Portland, OR 97213-2331 · (541) 321-0788 · Fax (541) 735-9465
Fax(541) 735-9465
Organization SubpartNo
Authorized OfficialCara FreudenbergLicensed Psychologist/owner · (541) 321-0788
Enumeration DateAugust 14, 2020
Last NPPES UpdateOctober 31, 20256 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1235740929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4424 NE GLISAN ST STE 22, Portland, OR 97213

Other Identifiers 2

Other1053700559Individual Npi
Medicaid500757076OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Rising Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Rising Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1053700559
4424 NE GLISAN ST STE 22
Portland, OR 97213
(541) 321-0788
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Therapy, LLC's NPI number?

The NPI number for Phoenix Rising Therapy, LLC is 1235740929. It was assigned to this organization in the NPPES registry on August 14, 2020.

Where is Phoenix Rising Therapy, LLC located?

Phoenix Rising Therapy, LLC is located at 4424 NE Glisan St Ste 22, Portland, OR 97213. The listed phone number is (541) 321-0788.

What is Phoenix Rising Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Phoenix Rising Therapy, LLC enrolled in Medicare?

Yes. Phoenix Rising Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Rising Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Phoenix Rising Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Phoenix Rising Therapy, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Phoenix Rising Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Rising Therapy, LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.