Jeana L. Phillips, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3243 Issued in OR

Practice address

1937 Washington Ave
Baker City, OR 97814-3353

Phone

(541) 403-4322

NPI assigned

Nov 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1245507771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978140251",
            "telephone_number": "541-403-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 WASHINGTON AVE",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143353",
            "telephone_number": "541-403-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEANA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ruth Petersen, MSW
• Mandy M Peterson, RD
• Royce G Peterson, PHARMD
• Marla Vivian Petrik
• Jon Eric Petterson, M.D.
• Matthew A Pickering, RPH
• Pin and Tonics
• Pioneer Ambulance, Inc
• Gregory Warren Plano, MS
• Makayla Nichole Plumbtree, OTD, OTR

• Mental Health Counselor in Baker City, OR
• Providers in Baker City, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.