Active NPI
Douglas Jack Phillips
- Addiction (Substance Use Disorder) Counselor
- Albuquerque, NM
National Provider Identifier
1225933591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CTB20260792
- Practice address
- 8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155 - Phone
- (505) 856-0300
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CTB20260792 | NM | Primary |
Addresses
Primary practice location
8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155
Mailing address
8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155
Phone (505) 856-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1225933591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 SPAIN RD NE STE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093155",
"telephone_number": "505-856-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8205 SPAIN RD NE STE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093155",
"telephone_number": "505-856-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DOUGLAS",
"middle_name": "JACK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CTB20260792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.