Individual provider Active NPI

Stephanie Dawn Phillips, LCMHCS, NCC, CCTP

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1225345689
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8809 Issued in NC
Practice address
8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074
Phone
(919) 617-9656
Fax
(919) 617-9656
NPI assigned
Sep 7, 2010
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8809 NC Primary

Addresses

Primary practice location

8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074

Mailing address

8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074
Phone (919) 617-9656

Other identifiers 3

IdentifierTypeStateIssuer
12360850OtherNCBCBS NC
2303373OtherNCCOMPSYCH
6104904MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002057 NC Practitioner - Mental Health Counselor 2163839093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindly Group, PLLCGroup PAC ID 3072744028, 7 clinicians

Practice addresses (Care Compare)

501 Keisler Dr
Suite 104
Cary, NC 27518-9322
Phone (919) 617-9656

8406 Six Forks Rd
Suite 204
Raleigh, NC 27615-3074
Phone (919) 617-9656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
8809NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindly Group, PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Pathways Psychotherapy, PLLC Mental Health Current Accepting new patients

Locations

501 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 617-9656

8406 Six Forks Rd
Ste 201
Raleigh, NC 27615
Phone (919) 617-9656

8406 Six Forks Rd
Ste 204
Raleigh, NC 27615
Phone (919) 617-9656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1225345689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153074",
            "telephone_number": "919-617-9656",
            "fax_number": "919-617-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153074",
            "telephone_number": "919-617-9656",
            "fax_number": "919-617-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS, NCC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "12360850",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "2303373",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104904",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.