OrganizationActive
Phoenix LLC
NPI 1356938146 · Community/Behavioral Health Agency · Council Bluffs, IA
Provider details
- NPI number
- 1356938146
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Joquana Goynes, Executive Director(402) 378-5755
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2226 5th Ave
Council Bluffs, IA 51501-3735
Phone: (402) 378-5755
Street-level locationGet directions
Mailing address
2226 5th Ave
Council Bluffs, IA 51501-3735
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.