Jared Phillips, LPCC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3587 Issued in CA

Practice address

415 Figueroa St
Monterey, CA 93940-3048

Phone

(831) 869-3917

NPI assigned

Jul 19, 2007

Last updated

Jan 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1275733198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FIGUEROA ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403048",
            "telephone_number": "831-869-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FIGUEROA ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403048",
            "telephone_number": "831-869-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Piedras Blancas",
            "address_purpose": "LOCATION",
            "city": "Carmel Valley",
            "state": "CA",
            "postal_code": "939249730",
            "country_code": "US",
            "telephone_number": "413-687-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JARED",
        "credential": "LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "3587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "&&&",
            "identifier": "PHI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiotherapy Associates, Inc.
• Maegen Christine Pierce, BCBA
• Traci Pierce
• Daniel J Pierre, DDS MS

• Mental Health Counselor in Monterey, CA
• Providers in Monterey, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; 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.