Herbert Phil Phillips, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12724 Issued in TX

Practice address

650 W Green St
Stephenville, TX 76401-3311

Phone

(254) 965-7806

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pecan Valley MHMR RegionGroup PAC ID 4688627706, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Pecan Valley MHMR Region

  • Community/Behavioral Health Agency
  • Granbury, TX
  • NPI 1891915708

  Professional

  Medicare reassignment Care Compare group NPD
• Pecan Valley MHMR Region

  • Primary Care Nurse Practitioner
  • Cleburne, TX
  • NPI 1285342295
  NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134323470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764010009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W GREEN ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013311",
            "telephone_number": "254-965-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HERBERT",
        "middle_name": "PHIL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Samantha Noel Pehl, NP
• Alisa Gay Peterson, DO
• Martin D Phillips, LCDC INTERN
• Maria Pilotte, LPC
• David Scott Pool, LPC
• Kyna Price, SLP
• Progressive Medical Management of Batesville LLC

• Professional Counselor in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.