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CLARA PHOENIX
NPI 1386317303
Counselor - Mental Health in Vancouver, WA

Active since July 26, 2021PECOS Enrolled
15609 SE MILL PLAIN BLVD BLDG C, VANCOUVER, WA 98684(360) 433-9664 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clara Phoenix NPPES

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

CLARA PHOENIX (NPI 1386317303) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH70015553) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386317303
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCLARA PHOENIX
Location Address15609 SE MILL PLAIN BLVD BLDG CVancouver, WA 98684-8952
Mailing Address3710 Se 152nd AveVancouver, WA 98683-5311 · (503) 523-8203
Phone(360) 433-9664
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 26, 2021
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1386317303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH70015553
15609 SE MILL PLAIN BLVD BLDG C, Vancouver, WA 98684
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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8527558329
PECOS Enrollment IDI20251110001955
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Clara Phoenix's NPI number?

The NPI number for Clara Phoenix is 1386317303. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Clara Phoenix located?

Clara Phoenix practices at 15609 SE Mill Plain Blvd Bldg C, Vancouver, WA 98684. The listed phone number is (360) 433-9664.

What is Clara Phoenix's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Clara Phoenix enrolled in Medicare?

Yes. Clara Phoenix is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clara Phoenix was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.