Individual provider Active NPI

Robert Terry Phillips, LPC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1245658947
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008347 Issued in VA
Practice address
2137 Lakeside Dr Ste 103
Lynchburg, VA 24501-6808
Phone
(434) 260-3042
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008347 VA Primary

Addresses

Primary practice location

2137 Lakeside Dr Ste 103
Lynchburg, VA 24501-6808

Mailing address

1102 Ashley Dr
Lynchburg, VA 24501-2210
Phone (434) 907-9719

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

LicenseStateTypeSpecialty
0701008347VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Works Therapy Professional CurrentSince Feb 8, 2023 Accepting new patients

Locations

2137 Lakeside Dr
Lynchburg, VA 24501
Phone (434) 385-4184

2137 Lakeside Dr
Ste 103
Lynchburg, VA 24501
Phone (434) 260-3042

Interoperability endpoints

  • Direct secure messaging: addictionallies.robertphillips@150196.advancedmd-direct.com

Organizations & group practices 1

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1245658947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ASHLEY DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012210",
            "telephone_number": "434-907-9719",
            "fax_number": "434-907-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 LAKESIDE DR STE 103",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016808",
            "telephone_number": "434-260-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBERT",
        "middle_name": "TERRY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.