Organization · Type 2 NPI

A Phoenix Rising, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Colorado Springs, CO

NPI number 1033736699 Active

Practice location

308 W Fillmore St Ste 201
Colorado Springs, CO 80907-6000

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

Springs Integrative Counseling ServicesProfessional Counselor Colorado Springs, CO NPI 1902406101
Erika M. Sharak, MA, LPCMental Health Counselor Colorado Springs, CO NPI 1285206011

Other mental health clinic/center (including community mental health center) providers in Colorado Springs

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NPI record

NPI: 1033736699
Entity type: Organization (Type 2)
Issued: Jun 30, 2020
Last updated: Apr 16, 2025
Status: Active

Other names

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A Phoenix Rising, LLC · doing business as
A Phoenix Rising, LLC · doing business as

Authorized official

Mr. Xander John Burgess, LPC, LMFT
Owner
(719) 439-6785

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033736699

A Phoenix Rising, LLC's National Provider Identifier is 1033736699, issued on Jun 30, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 16, 2025.