Hailey M Phipps, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-20769 Issued in AZ

Practice address

1405 E Guadalupe Rd Ste 3
Tempe, AZ 85283-3971

Phone

(480) 921-3314

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Buwalda Psychological Services

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1619322864
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1275277154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E GUADALUPE RD STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833971",
            "telephone_number": "480-921-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E GUADALUPE RD STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833971",
            "telephone_number": "480-921-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "HAILEY",
        "middle_name": "M",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-20769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hzitterman@buwaldapsychologicalservices.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1405 E Guadalupe Rd",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852833971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betty J Phillips, R.N.
• Vernie Phillips, III
• Jada Phillips
• Matthew David Phillips, DDS
• Kaylie Philllippi, RBT
• Phoenix Emergency Physicians LLC
• Phoenix Health and Wellbeing LLC
• Phoenix Home Health LLC
• Phoenix Orthopedic Institute PLLC
• Phoenix Pointe Psychiatry LLC

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.