Melissa Anne Phillips, LMHC, CPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH61163843 Issued in WA

Practice address

3623 E 29TH Ave
Spokane, WA 99223-5752

Phone

(602) 329-9955

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melissa Anne Bonner Former name

Medicare fee-for-service enrollment

Enrolled in WA, NV2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  NV, Professional

  Medicare reassignment Care Compare group NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  WA

  Medicare reassignment Care Compare group NPD
• Harbor Youth and Family Counseling

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1205466265
  NPD
• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349
  NPD

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1255830675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235752",
            "telephone_number": "602-329-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235752",
            "telephone_number": "602-329-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60801341",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH61163843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BONNER",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "LMHC, CDPT, SUDPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Deborah Phillips, DMD
• Josephine Kathleen Phillips, ARNP
• Kailey M Phillips, PHARMD
• Katherine Olivia Phillips, RPH
• Lyndi T Phillips
• Moraima D Phillips, M.ED, MS
• Paul Bernard Phillips, D.C.
• Sonia Maria Phillips, MSW
• William Hugh Phillips, MD
• Marie Joy Phillipson, SUDP,SUDA,NCAC1

• Professional Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.