Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376218685 Individual Practitioner Female Practitioner

Octavia Phoenix

Counselor • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Octavia Phoenix is a registered healthcare professional specializing in Counselor in Brooklyn, NY. Practice services are available at 117 DOBBIN ST STE 204A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

117 Dobbin St Ste 204a

Brooklyn, NY 112222803

Telephone 9177251795
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
386 Specialists

Practicing in Brooklyn, NY (4032 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043089105

CATLP

Catherine Taylor , LMHC, LCPC

Counselor - Mental Health

NPI 1053917096

Licensed Mental Health Counselor, Licensed Clinical Professional Counselor

Sarah Dolan

Counselor - Mental Health

NPI 1063115954
NPI 1083246995

RDMT, LCAT, MSDMT

Courtney Foley , MHC

Counselor - Mental Health

NPI 1114695970
Michael Stendardi , MHC-LP

Counselor - Mental Health

NPI 1174383434

MHCLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 18, 2023

Registered at 117 DOBBIN ST STE 204A, BROOKLYN, NY 112222803 (Tel: 9177251795)

📍
Updated Business Mailing Address March 18, 2023

Registered at 117 DOBBIN ST STE 204A, BROOKLYN, NY 112222803

📍
Updated Business Mailing Address March 08, 2023

Registered at 10 RICHMAN PLZ, BRONX, NY 104536565

📍
Updated Practice Location November 15, 2022

Registered at 10 RICHMAN PLZ APT 16D, BRONX, NY 104536521 (Tel: 9175576523)

📍
Updated Business Mailing Address November 15, 2022

Registered at 10 RICHMAN PLZ APT 16D, BRONX, NY 104536521

NPI Profile Active August 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2021

Registered at 220 5TH AVE FL 11, NEW YORK, NY 100018017 (Tel: 2127776922)

📍
Updated Business Mailing Address August 10, 2021

Registered at 220 5TH AVE FL 11, NEW YORK, NY 100018017 (Tel: 2127776922)

👤
Provider Name / Credentials Updated August 10, 2021

Recorded as OCTAVIA PHOENIX

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Counselor

🟢
Initial NPI Registration & Enumeration August 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376218685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2021
Last Update: March 18, 2023
Sole Proprietor: No

Mailing Address

117 Dobbin St Ste 204a

Brooklyn, NY 112222803

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.