Active NPI
Latoya L Phillips, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1285921908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- .CNP.0040259
- Practice address
- 3239 Jefferson Ave Ste 1
Cincinnati, OH 45220-2270 - Phone
- (513) 400-4976
- Fax
- (513) 214-0400
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | .CNP.0040259 | OH | Primary |
Addresses
Primary practice location
3239 Jefferson Ave Ste 1
Cincinnati, OH 45220-2270
Mailing address
3239 Jefferson Ave Ste 1
Cincinnati, OH 45220-2270
Phone (513) 400-4976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN.CNP.0040259 | Other | OH | CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .CNP.0040259 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive and Thrive Mental Health Services | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cincinnati, OH
- NPI 1053265058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1285921908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3239 JEFFERSON AVE STE 1",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202270",
"telephone_number": "513-400-4976",
"fax_number": "513-214-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3239 JEFFERSON AVE STE 1",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202270",
"telephone_number": "513-400-4976",
"fax_number": "513-214-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LATOYA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": ".CNP.0040259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION",
"identifier": "APRN.CNP.0040259",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.