NPIMap

Organization Active NPI

Phillips Agency, Inc

  • Counseling Psychologist
  • Lewiston, ID
National Provider Identifier
1053444604
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LCPC-144 Issued in ID
Legal business name
PHILLIPS AGENCY, INC
Practice address
532 Bryden Ave
Lewiston, ID 83501-4445
Phone
(208) 746-7266
Fax
(208) 798-5169
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. James R Phillips, PH.D.NPI 1629159140
Title
Licensed Psychologist
Phone
(208) 746-7266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY-305 ID
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X LCPC-144 ID Primary

Addresses

Primary practice location

532 Bryden Ave
Lewiston, ID 83501-4445

Mailing address

532 Bryden Ave
Lewiston, ID 83501-4445
Phone (208) 746-7266

National Provider Directory

National Provider Directory

Locations

532 Bryden Ave
Lewiston, ID 83501
Phone (208) 746-7266

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053444604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014445",
            "telephone_number": "208-746-7266",
            "fax_number": "208-798-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014445",
            "telephone_number": "208-746-7266",
            "fax_number": "208-798-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-746-7266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-305",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "LCPC-144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • 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.