Rising Phoenix Counseling Llc - Medicare Mental Health Clinic in Streetsboro, OH

Rising Phoenix Counseling Llc is a medicare enrolled mental health clinic (Counselor - Mental Health) in Streetsboro, Ohio. The current practice location for Rising Phoenix Counseling Llc is 830 Holborn Rd, Streetsboro, Ohio. For appointments, you can reach them via phone at (734) 625-9260. The mailing address for Rising Phoenix Counseling Llc is 9374 State Route 14 # 1007, Streetsboro, Ohio and phone number is () -.

Rising Phoenix Counseling Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710638721. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (734) 625-9260.

Contact Information

Rising Phoenix Counseling Llc
830 Holborn Rd
Streetsboro
OH 44241-4315
(734) 625-9260
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameRising Phoenix Counseling Llc
SpecialityCounselor
Location830 Holborn Rd, Streetsboro, Ohio
Authorized Official Name and PositionKelly Lucas (OWNER/THERAPIST)
Authorized Official Contact3305778281
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rising Phoenix Counseling Llc
9374 State Route 14 # 1007
Streetsboro
OH 44241-5224

Ph: () -
Rising Phoenix Counseling Llc
830 Holborn Rd
Streetsboro
OH 44241-4315

Ph: (734) 625-9260

NPI Details:

NPI Number1710638721
Provider Enumeration Date01/11/2022
Last Update Date02/27/2024
Certification Date02/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5092159079
Medicare Enrollment IDO20240217000426

Medical Identifiers

Medical identifiers for Rising Phoenix Counseling Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710638721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rising Phoenix Counseling Llc acts as a billing entity for following providers:
Provider NameKelly Lucas
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1952837650
PECOS PAC ID: 6305281353
Enrollment ID: I20240229000849

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.