Individual provider Active NPI

Alexandr Philip, LPC

  • Mental Health Counselor
  • Flower Mound, TX
National Provider Identifier
1245603000
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74513 Issued in TX
Practice address
2201 Spinks Rd Ste 118
Flower Mound, TX 75022-4451
Phone
(214) 436-2272
NPI assigned
Nov 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 74513 TX Primary

Addresses

Primary practice location

2201 Spinks Rd Ste 118
Flower Mound, TX 75022-4451

Mailing address

1001 Cross Timbers Rd Ste 1240
Flower Mound, TX 75028-8866
Phone (214) 436-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240605000778 TX Practitioner - Mental Health Counselor 1456893593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 Spinks Rd
Suite 118
Flower Mound, TX 75022-4451
Phone (940) 240-2234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heavenly Counseling PLLC Mental Health CurrentSince Apr 14, 2024 Accepting new patients
Alexandr Vattamala Philip Mental Health Current Accepting new patients

Locations

2201 Spinks Rd
Ste 118
Flower Mound, TX 75022
Phone (214) 436-2272

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1245603000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CROSS TIMBERS RD STE 1240",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750288866",
            "telephone_number": "214-436-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SPINKS RD STE 118",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224451",
            "telephone_number": "214-436-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "ALEXANDR",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.