Katie Marie Phillips, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2339 Lake Park Dr
Albany, GA 31707-3360

Phone

(229) 553-0992

Fax

(229) 638-6302

NPI assigned

Jan 10, 2011

Last updated

Dec 30, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Journey Counseling and Psyhological Services, LLC

  • Professional Counselor
  • Albany, GA
  • NPI 1023405271
  NPD
• The Renaissance Centre, Inc.

  • Psychologist
  • Albany, GA
  • NPI 1104970193
  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1164726824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 LAKE PARK DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073360",
            "telephone_number": "229-255-3099",
            "fax_number": "229-638-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 LAKE PARK DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073360",
            "telephone_number": "229-553-0992",
            "fax_number": "229-638-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "208144244",
            "identifier": "208144244",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Pham, MD
• Stephanie Phan, PHARM.D.
• Chekesha Phillips, BSW, MSCJ
• Gary Phillips, RPH
• John T Phillips IV, MD
• Phoebe Cancer Center Surgical Oncology
• Phoebe Community Care, Inc
• Phoebe Family Medical Albany
• Phoebe Gastroenterology Associates
• Phoebe Infectious Disease

• Professional Counselor in Albany, GA
• Providers in Albany, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.