Phoenix Wellness, LLC
NPI 1538608690 · Clinical Social Worker · Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Wellness, LLC is a Clinical Social Worker organization in Peoria, IL (NPI 1538608690).
Provider details
- NPI number
- 1538608690
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Erin Surratt, Owner(309) 989-7282
- License
- 149016007 (IL)
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
9 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
- 2017-02-21
- Last updated
- 2017-02-21
Frequently asked questions
- What is Phoenix Wellness, LLC's NPI number?
- Phoenix Wellness, LLC's National Provider Identifier (NPI) is 1538608690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Wellness, LLC?
- Phoenix Wellness, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Phoenix Wellness, LLC located?
- Phoenix Wellness, LLC's practice location on file with NPPES is 2020 W War Memorial Dr, Peoria, IL 61614-6754.
- What is Phoenix Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Wellness, LLC is (309) 989-7282.
- Does Phoenix Wellness, LLC accept Medicare?
- Phoenix 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 Wellness, LLC?
- The authorized official listed on Phoenix Wellness, LLC's NPPES record is Erin Surratt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Wellness, LLC's NPI active?
- Yes — Phoenix Wellness, LLC's NPI (1538608690) is active in the NPPES registry as of the last update on 2017-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.