Phyllis B York, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

54374 Issued in TX

Practice address

129 Circle Way St Ste B
Lake Jackson, TX 77566-5239

Phone

(979) 388-3678

NPI assigned

Jul 8, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Successful Solutions Psychotherapy, PLLC

  • Mental Health Counselor
  • Lake Jackson, TX
  • NPI 1851058820
  NPD Authorized official
• Lemon Frazier Psychological Services

  • Clinical Psychologist
  • Lake Jackson, TX
  • NPI 1023462314
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1194396382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CIRCLE WAY ST STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665239",
            "telephone_number": "979-388-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CIRCLE WAY ST STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665239",
            "telephone_number": "979-388-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "PHYLLIS",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "54374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Woodiel, FNP-C
• World Wellness, Inc
• Y2K Medical PA
• Matthew Chiasheng Yang, MD
• Rachel Ann Yates, PA-C
• Virgil Everett Young Jr., RPH
• Stephanie Alisa Zamora, FNP

• Mental Health Counselor in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.