Erin Marie Phipps, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2017042958 Issued in MO

Practice address

420 Grand Ave
Joplin, MO 64801-2027

Phone

(417) 680-0777

NPI assigned

Aug 28, 2013

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

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.

• Unearth Potential, LLC

  • Behavior Analyst
  • Joplin, MO
  • NPI 1982202883
  NPD Authorized official
• Ozark Center

  • Community/Behavioral Health Agency
  • Joplin, MO
  • NPI 1841621992
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1285068080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648020426",
            "telephone_number": "417-680-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GRAND AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012027",
            "telephone_number": "417-680-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044029",
            "country_code": "US",
            "telephone_number": "417-347-7850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 S Picher Ave",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648041645",
            "country_code": "US",
            "telephone_number": "417-347-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2017042958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Allan Philliber, CNP
• Andrea Dana Lee Phillips, LPC
• John Phillips, DO
• Kirsten Anne Phillips
• Michael Phillips, DO
• Brian Pholvichitr
• PHS Mo Ananke LLC
• PHS Mo Ananke LLC
• Physical Therapy of Joplin
• Physicians Medical Clinic, LLC

• Behavior Analyst in Joplin, MO
• Providers in Joplin, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.