Chasity Phillips, MA,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A10881 Issued in GA

Practice address

514 W Bankhead Hwy Ste 100
Villa Rica, GA 30180-1737

Phone

(678) 941-3868

Fax

(678) 941-3217

NPI assigned

May 10, 2016

Last updated

Apr 7, 2026By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inmind LLC

  • Counselor
  • Villa Rica, GA
  • NPI 1982096939
  NPD

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1285080051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 100",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "678-941-3868",
            "fax_number": "678-941-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 100",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "678-941-3868",
            "fax_number": "678-941-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Hamilton Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301101681",
            "country_code": "US",
            "telephone_number": "850-866-8212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHASITY",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "A10881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "inmindcollaborative.com",
            "affiliation": "N",
            "address_1": "514 W Bankhead Hwy Ste 100",
            "city": "Villa Rica",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301801737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chasity@inmindcollaborative.com",
            "affiliation": "N",
            "address_1": "514 W Bankhead Hwy Ste 100",
            "city": "Villa Rica",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301801737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.