Justin David Phillips, MAMFC, NCC, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3758 Issued in AL

Practice address

3396 Mount Olive Rd
Mount Olive, AL 35117-3710

Phone

(205) 631-4126

Fax

(205) 631-4156

NPI assigned

Jul 6, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Phillips Counseling Practice, LLC

  • Professional Counselor
  • Homewood, AL
  • NPI 1205349644
  NPD (past) Authorized official

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033630579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 WHITTAKER PL",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350944928",
            "telephone_number": "678-779-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3396 MOUNT OLIVE RD",
            "city": "MOUNT OLIVE",
            "state": "AL",
            "postal_code": "351173710",
            "telephone_number": "205-631-4126",
            "fax_number": "205-631-4156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Curry Hwy",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355037546",
            "country_code": "US",
            "telephone_number": "205-384-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "credential": "MAMFC, NCC, ALC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C2365A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C2365A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3758",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C2365A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly S Arant Counseling & Consulting, LLC
• Sherry Thomas Mullenix, JD, RN
• Stephen Alan Mullenix, R.PH.
• Rebekah Sue Myrick, LM, CPM
• National Birth Centers, Inc.
• Anita H. Pritchett, R.PH. FASCP
• Private Healthcare Facilities
• Revive Total Health and Wellness
• S & S Pharmaceuticals LLC (The Pharmacy in Mount Olive)
• Darrell Ziroli

• Mental Health Counselor in Mount Olive, AL
• Providers in Mount Olive, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.