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PHOENIX GROUP HOME, LLC
NPI 1336654854
Substance Abuse Rehabilitation Facility in Cincinnati, OH

Active since December 06, 2017CLIA 36D2330942 · Waiver
3012 GLENMORE AVE STE 104, CINCINNATI, OH 45238(740) 858-1659(740) 876-9213 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2026, Feb 6, 2026, Feb 24, 2025 and 2 more (5 updates tracked since 2017).

About Phoenix Group Home, Llc NPPES

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

PHOENIX GROUP HOME, LLC (NPI 1336654854), doing business as Path Behavioral Health- Sud, is a healthcare organization registered as a substance abuse rehabilitation facility in Cincinnati, Ohio and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through September 23, 2027, maintains 20 additional practice locations, and lists Abbie Carpenter, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1336654854
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX GROUP HOME, LLC
Location Address3012 GLENMORE AVE STE 104Cincinnati, OH 45238-2258
Mailing Address257 E 200 S Ste 350Salt Lake City, UT 84111-2085 · (740) 858-1659 · Fax (740) 876-9213
Phone(740) 858-1659
Fax(740) 876-9213
Organization SubpartYesParent: Phoenix Group Home Llc
Authorized OfficialAbbie CarpenterCredentialing Specialist · (304) 794-6285
Enumeration DateDecember 6, 2017
Last NPPES UpdateAugust 17, 20265 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1336654854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
3012 GLENMORE AVE STE 104, Cincinnati, OH 45238
Open in Google Maps ↗

Other Names 3

Doing Business AsPath Behavioral Health- Sud
Doing Business AsPath Behavioral Healthcare
Doing Business AsPath Integrated Health

Secondary Practice Locations 20

Location 11235 W Market StLima, OH 45805-2728 · Phone (567) 289-6060
Location 21404 N High StHillsboro, OH 45133-8692 · Phone (740) 400-0411
Location 33044 Columbus Lancaster Rd NWLancaster, OH 43130-8125 · Phone (740) 883-9300
Location 4905 N Main StFindlay, OH 45840-3670 · Phone (567) 525-4100
Location 5399 Lincoln Park Dr Ste ANew Lexington, OH 43764-1078 · Phone (740) 960-0380
Location 6221 W Emmitt Ave # 1Waverly, OH 45690-1005 · Phone (740) 835-4054
Location 710 Myrtle AveGallipolis, OH 45631-9772 · Phone (740) 208-7462
Location 81605 11th StPortsmouth, OH 45662-4525 · Phone (740) 340-1427
Location 953 W Main StXenia, OH 45385-2979 · Phone (937) 971-2350
Location 10701 Hildreth LnMarietta, OH 45750-1768 · Phone (740) 371-7194
Location 11188 W Hebble AveFairborn, OH 45324-4960 · Phone (937) 754-5911
Location 1211201 Shaker Blvd Ste 102Cleveland, OH 44104-3833 · Phone (216) 758-4120
Location 13757 Columbus AveLebanon, OH 45036-1607 · Phone (513) 836-8230
Location 14111 W Water StChillicothe, OH 45601-2452 · Phone (740) 851-6493
Location 157211 N Main StDayton, OH 45415-2566 · Phone (937) 791-1427
Location 1631500 Chieftain Dr Unit BcLogan, OH 43138-8421 · Phone (740) 270-3286
Location 17126 N Cross StWest Union, OH 45693-1209 · Phone (740) 340-1460
Location 1849 Johnson RdTHE PLAINS, OH 45780-1146 · Phone (740) 764-4529
Location 199711 E Pike Rd Rm 104Cambridge, OH 43725-8936 · Phone (740) 825-8543
Location 20151 S Kennebec AveMcConnelsville, OH 43756-1211 · Phone (740) 960-0380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Group Home, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Phoenix Group Home, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner12
Mental Health Counselor5
Psychiatry4

Nearest to this location (20)

See all 21
Christopher Lehman, PMHNP-BC
Nurse Practitioner
NPI 1376258020
2600 VICTORY PKWY
Cincinnati, OH 45206
(513) 751-7747
✔ PECOS✔ Accepts Medicare7.0 mi
Hilary Preston, APRN
Nurse Practitioner
NPI 1366178246
5439 BURKHARDT RD
Dayton, OH 45431
(720) 270-7890
✔ PECOS✔ Accepts Medicare51 mi
Halley Ward
Nurse Practitioner
NPI 1215563051
1156 COLUMBUS AVE STE C
Washington Court House, OH 43160
(740) 895-5900
✔ PECOS✔ Accepts Medicare69 mi
Virginia Woodrow, M.D.
Psychiatry
NPI 1073544300
500 E COURT ST
Sidney, OH 45365
(937) 492-8080
✔ PECOS83 mi
Danielle Snyder, LCDC III
Mental Health Counselor
NPI 1376062463
14572 HIGHWAY 23
Waverly, OH 45690
(740) 947-7581
✔ PECOS✔ Accepts Medicare88 mi
Hyun Song, D.O.
Psychiatry
NPI 1649973876
111 W WATER ST
Chillicothe, OH 45601
(740) 851-6493
✔ PECOS✔ Accepts Medicare88 mi
Leah Flach, CNP
Nurse Practitioner
NPI 1528405172
220 N PLAZA BLVD
Chillicothe, OH 45601
(937) 654-7022
✔ PECOS89 mi
Chase Sawyer, MD
Psychiatry
NPI 1790487791
455 SHAWNEE LN
Chillicothe, OH 45601
(740) 779-4888
✔ PECOS✔ Accepts Medicare89 mi
Alyson Wright, FNP-BC
Nurse Practitioner
NPI 1922740240
902 GALLIA ST
Portsmouth, OH 45662
(740) 821-3949
✔ PECOS✔ Accepts Medicare92 mi
Christine Williams
Nurse Practitioner
NPI 1295399509
1711 27TH ST
Portsmouth, OH 45662
(740) 352-1175
✔ PECOS✔ Accepts Medicare92 mi
Hope Morgan, FNP-BC
Nurse Practitioner
NPI 1386289411
1805 27TH ST
Portsmouth, OH 45662
(740) 356-5000
✔ PECOS✔ Accepts Medicare92 mi
Brittany Hassler, FNP-BC
Nurse Practitioner
NPI 1801304258
1605 11TH ST
Portsmouth, OH 45662
(740) 715-0094
✔ PECOS✔ Accepts Medicare92 mi
Brooke Vass, APRN
Nurse Practitioner
NPI 1346680626
419 VERNON ST
Ironton, OH 45638
(740) 479-5120
✔ PECOS✔ Accepts Medicare112 mi
Heather Friend, FNP-C
Nurse Practitioner
NPI 1821873464
419 VERNON ST
Ironton, OH 45638
(740) 479-5120
✔ PECOS112 mi
Kathryn Mccallister, LPC
Mental Health Counselor
NPI 1508446543
419 VERNON ST
Ironton, OH 45638
(740) 479-5120
✔ PECOS✔ Accepts Medicare112 mi
Francie Beaulieu
Mental Health Counselor
NPI 1609366277
1592 GRANVILLE PIKE
Lancaster, OH 43130
(740) 687-0835
✔ PECOS✔ Accepts Medicare116 mi
Jaime Hill, APRN
Nurse Practitioner
NPI 1093594046
49 JOHNSON RD
The Plains, OH 45780
(937) 597-3186
✔ PECOS✔ Accepts Medicare134 mi
Diana Beko-Stretton
Mental Health Counselor
NPI 1043466758
90 HOSPITAL DR
Athens, OH 45701
(740) 592-3091
✔ PECOS✔ Accepts Medicare135 mi
Cara Lyle, FNP
Nurse Practitioner
NPI 1720525512
90 N 4TH ST FL 2NF
Martins Ferry, OH 43935
(740) 633-4418
✔ PECOS✔ Accepts Medicare218 mi
Brian Levins, M.D.
Psychiatry
NPI 1053675090
108 WILD BASIN RD S STE 250
Austin, TX 78746
(512) 737-4094
✔ PECOS966 mi
See all 21 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2330942

Phoenix Group Home LLC Dba Path Behavioral Healthcare · Waverly, OH
Active · expires Sep 23, 2027
CLIA Number36D2330942
Laboratory TypeMental Health Program
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorAbdelrahman Abdelaziz
Laboratory Phone(740) 835-4054
Laboratory LocationPhoenix Group Home LLC Dba Path Behavioral Healthcare221 W Emmitt Ave #1, Waverly, OH 45690
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Group Home, LLC's NPI number?

The NPI number for Phoenix Group Home, LLC is 1336654854. It was assigned to this organization in the NPPES registry on December 6, 2017. The provider is doing business as Path Behavioral Health- SUD, Path Behavioral Healthcare and Path Integrated Health.

Where is Phoenix Group Home, LLC located?

Phoenix Group Home, LLC is located at 3012 Glenmore Ave Ste 104, Cincinnati, OH 45238. The listed phone number is (740) 858-1659.

What is Phoenix Group Home, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Phoenix Group Home, LLC enrolled in Medicare?

Yes. Phoenix Group Home, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Group Home, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Phoenix Group Home, 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. The largest specialties are Nurse Practitioner (12), Mental Health Counselor (5) and Psychiatry (4). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Phoenix Group Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2330942) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoenix Group Home, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list Phoenix Group Home, 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 Group Home, LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.