PHOENIX PLACE
NPI 1740065713
Community/Behavioral Health in Louisville, KY

Q: What is Phoenix Place's NPI number?

The NPI number for Phoenix Place is 1740065713. It was assigned to this organization in the NPPES registry on August 29, 2023.

Q: What is Phoenix Place's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phoenix Place 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.

Active since August 29, 2023

2012 W CHESTNUT ST, LOUISVILLE, KY 40203(502) 656-9261 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, May 2, 2024, Aug 29, 2023 (3 updates tracked since 2023).

On this page

About Phoenix Place NPPES

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

PHOENIX PLACE (NPI 1740065713) is a healthcare organization registered as a community/behavioral health in Louisville, Kentucky and active in the NPI registry since August 2023. The organization lists Diamond Calloway, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1740065713

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePHOENIX PLACE

Location Address2012 W CHESTNUT STLouisville, KY 40203-1542

Mailing Address2012 W Chestnut StLouisville, KY 40203-1542 · (502) 656-9261

Phone(502) 656-9261

Organization SubpartNo

Authorized OfficialDiamond CallowayExecutive Director · (502) 656-9261

Enumeration DateAugust 29, 2023

Last NPPES UpdateMay 7, 20243 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1740065713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X

2012 W CHESTNUT ST, Louisville, KY 40203

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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

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 18D2308485

Phoenix Place · Louisville, KY

Expired · Jul 29, 2026

CLIA Number18D2308485

Laboratory TypeBehavioral Health Organiz

Certificate Effective DateJuly 30, 2024

Certificate Expiration DateJuly 29, 2026

Laboratory DirectorMs. Diamond Calloway

Laboratory Phone(502) 656-9261

Laboratory LocationPhoenix Place2012 W Chestnut Street, Louisville, KY 40203

CLIA data matches this NPI record on: Address 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 Place's NPI number?

The NPI number for Phoenix Place is 1740065713. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Phoenix Place located?

Phoenix Place is located at 2012 W Chestnut St, Louisville, KY 40203. The listed phone number is (502) 656-9261.

What is Phoenix Place's specialty?

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

When was this NPI record last updated?

The NPPES record for Phoenix Place 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.