PHOENIX PEER SERVICES LLC
NPI 1235994138
Peer Specialist in Mildred, PA

Q: What is Phoenix Peer Services LLC's NPI number?

The NPI number for Phoenix Peer Services LLC is 1235994138. It was assigned to this organization in the NPPES registry on February 19, 2024.

Q: What is Phoenix Peer Services LLC's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Active since February 19, 2024

7406 ROUTE 487 STE 1, MILDRED, PA 18632(570) 485-8212 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Phoenix Peer Services Llc NPPES

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

PHOENIX PEER SERVICES LLC (NPI 1235994138) is a healthcare organization registered as a peer specialist in Mildred, Pennsylvania and active in the NPI registry since February 2024. The organization lists Kathleen M Russell, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235994138

Entity TypeOrganization

Primary Taxonomy175T00000X

Legal Business NamePHOENIX PEER SERVICES LLC

Location Address7406 ROUTE 487 STE 1Mildred, PA 18632-9031

Mailing AddressPo Box 512Wysox, PA 18854-0512 · (570) 485-8212

Phone(570) 485-8212

Organization SubpartNo

Authorized OfficialKathleen M RussellCfo · (570) 485-8212

Enumeration DateFebruary 19, 2024

NPPES CertifiedFebruary 19, 2024

✔ NPI 1235994138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

7406 ROUTE 487 STE 1, Mildred, PA 18632

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Peer Services LLC's NPI number?

The NPI number for Phoenix Peer Services LLC is 1235994138. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is Phoenix Peer Services LLC located?

Phoenix Peer Services LLC is located at 7406 Route 487 Ste 1, Mildred, PA 18632. The listed phone number is (570) 485-8212.

What is Phoenix Peer Services LLC's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Peer Services LLC was last updated on February 19, 2024. 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.