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FENIX COLLECTIVE INC
NPI 1306694278
Peer Specialist in Charlotte, NC

Active since May 07, 2024
5222 SPLIT OAK DR, CHARLOTTE, NC 28227(704) 231-1079 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fenix Collective Inc NPPES

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

FENIX COLLECTIVE INC (NPI 1306694278) is a healthcare organization registered as a peer specialist in Charlotte, North Carolina and active in the NPI registry since May 2024. The organization maintains 2 additional practice locations and lists Jessica Anne Summers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306694278
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameFENIX COLLECTIVE INC
Location Address5222 SPLIT OAK DRCharlotte, NC 28227-0327
Mailing Address5222 Split Oak DrCharlotte, NC 28227-0327 · (704) 231-1079
Phone(704) 231-1079
Organization SubpartNo
Authorized OfficialJessica Anne SummersCeo · (704) 231-1079
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1306694278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
5222 SPLIT OAK DR, Charlotte, NC 28227
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Secondary Practice Locations 2

Location 1700 E 4th StCharlotte, NC 28202-2886 · Phone (704) 336-8100
Location 22318 Executive StCharlotte, NC 28208-3638 · Phone (704) 412-2334

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Fenix Collective Inc's NPI number?

The NPI number for Fenix Collective Inc is 1306694278. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Fenix Collective Inc located?

Fenix Collective Inc is located at 5222 Split Oak Dr, Charlotte, NC 28227. The listed phone number is (704) 231-1079.

What is Fenix Collective Inc'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 Fenix Collective Inc was last updated on May 7, 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.