Amy Phillips, LPC, NCC, BC-TMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2815 Issued in AL

Practice address

124 Bragg Ave
Auburn, AL 36830-3809

Phone

(334) 524-7195

NPI assigned

Feb 14, 2012

Last updated

Sep 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 6, 2024 through Aug 6, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collaborative Counseling, LLC

  • Community/Behavioral Health Agency
  • Auburn, AL
  • NPI 1972175909
  NPD Authorized official

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1023381589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368311258",
            "telephone_number": "334-524-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BRAGG AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303809",
            "telephone_number": "334-524-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMY",
        "credential": "LPC, NCC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Clinic LLC
• Alexander James Perkins
• Kim L Peters, DMD
• Kailee Peterson, LPC
• Joseph Anthony Petrone
• James Jackson Phillips Jr., DMD
• July Phouangmanivanh
• Physicians Choice Dialysis of Auburn, LLC
• Lindsey Ivy Piazza, MCD., CCC-SLP
• Kelli Pickard

• Professional Counselor in Auburn, AL
• Providers in Auburn, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.