Phillips Counseling Practice, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3758 Issued in AL

Legal business name

PHILLIPS COUNSELING PRACTICE, LLC

Practice address

3324 Independence Dr # 100
Homewood, AL 35209-5602

Phone

(205) 224-9181

Fax

(205) 484-9122

NPI assigned

Nov 7, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Justin David Phillips, LPC, MAMFC, NCCNPI 1033630579

Title

Counselor/Therapist

Phone

(678) 779-8739

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin David Phillips, MAMFC, NCC, ALC

  • Mental Health Counselor
  • Mount Olive, AL
  • NPI 1033630579

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1205349644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 WHITTAKER PL",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350944928",
            "telephone_number": "678-779-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 INDEPENDENCE DR # 100",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095602",
            "telephone_number": "205-224-9181",
            "fax_number": "205-484-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Independence Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352094187",
            "country_code": "US",
            "telephone_number": "205-224-9181",
            "fax_number": "205-484-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILLIPS COUNSELING PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "COUNSELOR/THERAPIST",
        "authorized_official_telephone_number": "678-779-8739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, MAMFC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Gaston Petznick DMD Fagd LLC (Petznick Dental)
• Greg A Pendley, ATC, LAT
• Performance Bracing LLC
• David Farrington Peters, D.M.D.
• Ronald E Philley, PA-C
• Kendyl E Phillips, MS, RDN, LD
• Krystle E Phillips, P.A.
• Michael Phillips, MD
• Ryan Phillips, PHARM.D.
• Alison Marie Pickering, M.D.

• Professional Counselor in Homewood, AL
• Providers in Homewood, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.