Active NPI
Nancy L. Phillips, MA., LLPC
- Counselor
- Lake Orion, MI
National Provider Identifier
1083931018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401011714
- Practice address
- 1692 S Newman Rd
Lake Orion, MI 48362-2247 - Phone
- (248) 814-0606
- NPI assigned
- Apr 30, 2010
- Last updated
- Apr 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401011714 | MI | Primary |
Addresses
Primary practice location
1692 S Newman Rd
Lake Orion, MI 48362-2247
Mailing address
1692 S Newman Rd
Lake Orion, MI 48362-2247
Phone (248) 814-0606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011714 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272585600000",
"number": "1083931018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1692 S NEWMAN RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483622247",
"telephone_number": "248-814-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1692 S NEWMAN RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483622247",
"telephone_number": "248-814-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "NANCY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "MA., LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2010-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401011714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Orion, MI
- Peace and Mind Therapy Center
- Marisa Pennoni
- Kaylee J. Rose Percival
- Personalized Family Healthcare PLLC
- Amy Phan
- Physiotherapy Associates Inc (NovaCare Rehabilitation)
- Lisa M Pineros Jacobs, PHARMD
- Place Counseling LLC Dba Treeside Psychological Clinic
- Jennifer R Place, MA, LPC, NCC
- Courtney Elizabeth Plas, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.