PHOENIX RISING WELLNESS, LLC
NPI 1851053755
Clinic/Center - Adult Mental Health in Milwaukee, WI

Active since October 07, 2021
10425 W NORTH AVE STE 311, MILWAUKEE, WI 53226(414) 436-9918 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phoenix Rising Wellness, Llc NPPES

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

PHOENIX RISING WELLNESS, LLC (NPI 1851053755) is a healthcare organization registered as an adult mental health in Milwaukee, Wisconsin and active in the NPI registry since October 2021. The organization lists Carolyn Morris, Owner, as its authorized official.

NPPES Registry Identity

NPI1851053755
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePHOENIX RISING WELLNESS, LLC
Location Address10425 W NORTH AVE STE 311Milwaukee, WI 53226-2400
Mailing Address10425 W North Ave Ste 311Milwaukee, WI 53226-2400 · (414) 436-9918
Organization SubpartNo
Authorized OfficialCarolyn MorrisOwner · (414) 436-9918
Enumeration DateOctober 7, 2021
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1851053755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedSocial WorkerTaxonomy 104100000X
10425 W NORTH AVE STE 311, Milwaukee, WI 53226

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20211117000178Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Rising Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1811188964
10425 W NORTH AVE STE 311
Milwaukee, WI 53226
(414) 436-9918
✔ PECOS✔ Accepts MedicareSame 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 Phoenix Rising Wellness, LLC's NPI number?

The NPI number for Phoenix Rising Wellness, LLC is 1851053755. It was assigned to this organization in the NPPES registry on October 7, 2021.

Where is Phoenix Rising Wellness, LLC located?

Phoenix Rising Wellness, LLC is located at 10425 W North Ave Ste 311, Milwaukee, WI 53226. The listed phone number is (414) 436-9918.

What is Phoenix Rising Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Phoenix Rising Wellness, LLC enrolled in Medicare?

Yes. Phoenix Rising Wellness, LLC is registered in the Medicare PECOS enrollment system.

When is Phoenix Rising Wellness, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Phoenix Rising Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Phoenix Rising Wellness, 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 Phoenix Rising Wellness, LLC accept?

Health plans from Quartz list Phoenix Rising Wellness, 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 Phoenix Rising Wellness, LLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.