PHOENIX COUNSELING & TRAUMA TREATMENT CENTER, LLC
NPI 1780222976
Counselor - Mental Health in Vineland, NJ
About Phoenix Counseling & Trauma Treatment Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX COUNSELING & TRAUMA TREATMENT CENTER, LLC (NPI 1780222976) is a healthcare organization registered as a mental health in Vineland, New Jersey and active in the NPI registry since December 2019. The organization lists Willie Mae Kent, Owner/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Counseling & Trauma Treatment Center, 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 Phoenix Counseling & Trauma Treatment Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Phoenix Counseling & Trauma Treatment Center, LLC's NPI number?
The NPI number for Phoenix Counseling & Trauma Treatment Center, LLC is 1780222976. It was assigned to this organization in the NPPES registry on December 18, 2019.
Where is Phoenix Counseling & Trauma Treatment Center, LLC located?
Phoenix Counseling & Trauma Treatment Center, LLC is located at 727 E Landis Ave, Vineland, NJ 08360. The listed phone number is (856) 300-7770.
What is Phoenix Counseling & Trauma Treatment Center, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Phoenix Counseling & Trauma Treatment Center, LLC enrolled in Medicare?
Yes. Phoenix Counseling & Trauma Treatment Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phoenix Counseling & Trauma Treatment Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Phoenix Counseling & Trauma Treatment Center, 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.
When was this NPI record last updated?
The NPPES record for Phoenix Counseling & Trauma Treatment Center, LLC was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Phoenix Counseling & Trauma Treatment Center, Llc · NPI 1780222976
Mental Health organization in Vineland, New Jersey. Organization record, active in the CMS NPPES registry since December 18, 2019.
## Identity
- **NPI:** 1780222976 (Entity type: Organization)
- **Enumerated:** December 18, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** Phoenix Counseling & Trauma Treatment Center, LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Willie Kent, OWNER/DIRECTOR
## Practice location
- **Address:** 727 E LANDIS AVE, Vineland, NJ 08360-8001
- **Phone:** (856) 300-7770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1780222976) · Data from the CMS NPPES public registry.