Pamela J Phipps, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2671 Issued in MS

Practice address

6760 Hwy 98
Suite 1
Hattiesburg, MS 39402-8817

Phone

(601) 402-5137

NPI assigned

Mar 23, 2021

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

Practice roles

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.

• Mindset Matter LLC

  • Mental Health Counselor
  • Hattiesburg, MS
  • NPI 1912768623
  NPD Authorized official

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1265018782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 HWY 98",
            "address_2": "SUITE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028817",
            "telephone_number": "601-402-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 HWY 98",
            "address_2": "SUITE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028817",
            "telephone_number": "601-402-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Phillips, MD
• Kacey Phillips, FNP
• Kathryn Elaine Phillips, BCBA
• Lauren Phillips
• Riley Phillips, PA-C
• Physical Therapy Center of Ocean Springs, LLC
• Physiotherapy Associates, Inc.
• William Bradley Pickering, AGACNP
• Jonathan Lee Pierce, LAT, ATC
• Clarissa Pilgram

• Mental Health Counselor in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.