Phoenix Rising Wellness LLC
NPI 1114772456 · Clinical Social Worker · Newtown, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Rising Wellness LLC is a Clinical Social Worker organization in Newtown, CT (NPI 1114772456).
Provider details
- NPI number
- 1114772456
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alyssa Kondor, Owner(203) 556-2030
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-19
- Last updated
- 2024-04-19
- Certified
- 2024-04-19
Frequently asked questions
- What is Phoenix Rising Wellness LLC's NPI number?
- Phoenix Rising Wellness LLC's National Provider Identifier (NPI) is 1114772456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Rising Wellness LLC?
- Phoenix Rising Wellness LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Phoenix Rising Wellness LLC located?
- Phoenix Rising Wellness LLC's practice location on file with NPPES is 153 S Main St, Newtown, CT 06470-2791.
- What is Phoenix Rising Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Rising Wellness LLC is (203) 556-2030.
- Does Phoenix Rising Wellness LLC accept Medicare?
- Phoenix Rising Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Rising Wellness LLC?
- The authorized official listed on Phoenix Rising Wellness LLC's NPPES record is Alyssa Kondor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Rising Wellness LLC's NPI active?
- Yes — Phoenix Rising Wellness LLC's NPI (1114772456) is active in the NPPES registry as of the last update on 2024-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.