Individual provider Active NPI

Tamara Gray-Phillips, MSMFT, LMFT

  • Marriage & Family Therapist
  • Chester Springs, PA
National Provider Identifier
1194509984
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001263 Issued in PA
Practice address
145 Little Conestoga Rd
Chester Springs, PA 19425-9562
Phone
(484) 872-2060
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X FT-0010085 DE
Marriage & Family Therapist 106H00000X MF001263 PA Primary

Addresses

Primary practice location

145 Little Conestoga Rd
Chester Springs, PA 19425-9562

Mailing address

256 Eagleview Blvd Ste 113
Exton, PA 19341-1157
Phone (484) 872-2060

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

State licenses

LicenseStateTypeSpecialty
FT-0010085DEMDMarriage & Family Therapist
MF001263PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Hearts and Minds Therapy Services CurrentSince Sep 5, 2023 Accepting new patients

Locations

145 Little Conestoga Rd
Chester Springs, PA 19425
Phone (215) 359-5091

256 Eagleview Blvd
Ste 113
Exton, PA 19341

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1194509984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 EAGLEVIEW BLVD STE 113",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "484-872-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LITTLE CONESTOGA RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259562",
            "telephone_number": "484-872-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-PHILLIPS",
        "first_name": "TAMARA",
        "credential": "MSMFT, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DE",
            "license": "FT-0010085",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.