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HEALED PHOENIX BEHAVIORAL HEALTH LLC
NPI 1346066495
Community/Behavioral Health in Portland, OR

Active since November 22, 2024
1033 SW YAMHILL ST STE 101, PORTLAND, OR 97205(513) 252-6939 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Nov 22, 2024 (2 updates tracked since 2024).

About Healed Phoenix Behavioral Health Llc NPPES

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

HEALED PHOENIX BEHAVIORAL HEALTH LLC (NPI 1346066495) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since November 2024. The organization lists Tiffany Bryant, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1346066495
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHEALED PHOENIX BEHAVIORAL HEALTH LLC
Location Address1033 SW YAMHILL ST STE 101Portland, OR 97205-2537
Mailing Address12317 W Denton AveLitchfield Park, AZ 85340-3434 · (513) 252-6939
Phone(513) 252-6939
Organization SubpartNo
Authorized OfficialTiffany BryantAuthorized Official · (513) 252-6939
Enumeration DateNovember 22, 2024
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1346066495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1033 SW YAMHILL ST STE 101, Portland, OR 97205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Healed Phoenix Behavioral Health 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 Healed Phoenix Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tiffany Bryant, LPC
Mental Health Counselor
NPI 1043959638
1033 SW YAMHILL ST STE 201
Portland, OR 97205
(971) 990-5762
✔ PECOSSame 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 Healed Phoenix Behavioral Health LLC's NPI number?

The NPI number for Healed Phoenix Behavioral Health LLC is 1346066495. It was assigned to this organization in the NPPES registry on November 22, 2024.

Where is Healed Phoenix Behavioral Health LLC located?

Healed Phoenix Behavioral Health LLC is located at 1033 SW Yamhill St Ste 101, Portland, OR 97205. The listed phone number is (513) 252-6939.

What is Healed Phoenix Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Healed Phoenix Behavioral Health LLC enrolled in Medicare?

Yes. Healed Phoenix Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healed Phoenix Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Healed Phoenix Behavioral Health 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 Healed Phoenix Behavioral Health LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Healed Phoenix Behavioral Health 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 Healed Phoenix Behavioral Health LLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.