Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PHOENIX RISING PSYCHOTHERAPY, LLC
NPI 1659278364
Social Worker - Clinical in Phillipsburg, NJ

Active since October 26, 2026
402 COVENTRY DR, PHILLIPSBURG, NJ 08865(908) 627-0605 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Phoenix Rising Psychotherapy, Llc NPPES

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

PHOENIX RISING PSYCHOTHERAPY, LLC (NPI 1659278364) is a healthcare organization registered as a clinical in Phillipsburg, New Jersey and active in the NPI registry since October 2026. The organization lists Kayla L Tarazona, Owner And Lcsw, as its authorized official.

NPPES Registry Identity

NPI1659278364
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX RISING PSYCHOTHERAPY, LLC
Location Address402 COVENTRY DRPhillipsburg, NJ 08865-1969
Mailing Address62 Brass Castle RdWashington, NJ 07882-4329 · (908) 627-0605
Organization SubpartNo
Authorized OfficialKayla L TarazonaOwner And Lcsw · (908) 627-0605
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 25, 2026
✔ NPI 1659278364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
402 COVENTRY DR, Phillipsburg, NJ 08865

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Women's Health)
402 COVENTRY DR
PHILLIPSBURG, NJ 08865
Nurse Practitioner (Psychiatric/Mental Health)
402 COVENTRY DR
PHILLIPSBURG, NJ 08865

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 Rising Psychotherapy, LLC's NPI number?

The NPI number for Phoenix Rising Psychotherapy, LLC is 1659278364. It was assigned to this organization in the NPPES registry on October 26, 2026.

Where is Phoenix Rising Psychotherapy, LLC located?

Phoenix Rising Psychotherapy, LLC is located at 402 Coventry Dr, Phillipsburg, NJ 08865. The listed phone number is (908) 627-0605.

What is Phoenix Rising Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Phoenix Rising Psychotherapy, LLC was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.