Active NPI
Quincy Ann Phipps, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1215519053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018033201
- Practice address
- 3004 McNair Ave
Saint Louis, MO 63118-1635 - Phone
- (574) 214-7464
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018033201 | MO | Primary |
Addresses
Primary practice location
3004 McNair Ave
Saint Louis, MO 63118-1635
Mailing address
3004 McNair Ave
Saint Louis, MO 63118-1635
Phone (574) 214-7464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018033201 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1215519053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 MCNAIR AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631181635",
"telephone_number": "574-214-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 MCNAIR AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631181635",
"telephone_number": "574-214-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "QUINCY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018033201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.