Vernie Phillips Jr., LMSW, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SA-1140 Issued in AZ

Practice address

943 Hualapai Way
Peach Springs, AZ 86434-0190

Phone

(928) 769-2204

Fax

(928) 769-2701

NPI assigned

Apr 12, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013131150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "PEACH SPRINGS",
            "state": "AZ",
            "postal_code": "864340443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 HUALAPAI WAY",
            "city": "PEACH SPRINGS",
            "state": "AZ",
            "postal_code": "864340190",
            "telephone_number": "928-769-2204",
            "fax_number": "928-769-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "VERNIE",
        "name_suffix": "Jr.",
        "credential": "LMSW, LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "SA-1140",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "SW-2296M",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Bruce Niebel, MD
• Julia G. O'Brien, RN
• Peach Springs Health Center
• Peach Springs Indian Health Center
• Peach Springs Unified School District #8 (Psusd #8)
• Rebecca Ann Rice
• Melissa Kay Scott, RN
• Claudia J Shultz, RN
• Nicholas Dale Sparrow, PHARM.D.
• Tina M Stevens, RN

• Addiction (Substance Use Disorder) Counselor in Peach Springs, AZ
• Providers in Peach Springs, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.