Phoenix Program – Substance Abuse Rehabilitation Facility, NPI 1265891006

Phoenix Program is a healthcare provider. based in Arlington, Virginia. specializing in Substance Abuse Rehabilitation Facility. The organization holds a License No. 122-01-033 (VA). The NPI Number for Phoenix Program is 1265891006

Main info

Organization
Name
Phoenix Program
NPI
1265891006
Phone
(703) 841-0703
Address
200 N GLEBE RD
Authorized Official
DAVID NICHOLAS DIRECTOR OF REVENUE CYCLE
Enumeration Date
22 February 2016
Last Update Date
20 April 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness80
Years active:10State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Phoenix Program

  • 200, North Glebe Road, Buckingham, Arlington, Arlington County, Virginia, 22217, United States

    SUITE 104

    ARLINGTON, VA 222033728

    Phone: (703) 841-0703

    Fax: (703) 243-0975

    Type: Mailing

  • Phoenix center, 521, North Quincy Street, Virginia Square, Arlington, Arlington County, Virginia, 22217, United States

    ARLINGTON, VA 222032136

    Phone: (703) 841-0703

    Fax: (703) 243-0975

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22203)

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Reviews

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Frequently asked questions

Can I use this page to confirm Phoenix Program's NPI?
Yes. Phoenix Program is listed with NPI 1265891006 in the public NPI dataset.
Can I rely on Phoenix Program being an active provider?
As of the registry snapshot, Phoenix Program is marked active.
What is Phoenix Program's specialty?
The listing groups Phoenix Program with Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
What area does Phoenix Program serve?
Phoenix Program's listing highlights Arlington, Virginia; more addresses can appear in NPPES.
Is the information about Phoenix Program up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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