Individual provider Active NPI

Amy J Phillips, LICSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1306300306
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2522 Issued in NE
Practice address
8424 W Center Rd Ste 203
Omaha, NE 68124-3138
Phone
(402) 230-7222
Fax
(402) 230-7131
NPI assigned
Jan 24, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11756 NE
Mental Health Counselor 101YM0800X 2522 NE Primary
Clinical Social Worker 1041C0700X 1968 NE

Addresses

Primary practice location

8424 W Center Rd Ste 203
Omaha, NE 68124-3138

Mailing address

6901 Dodge St Ste 103
Omaha, NE 68132-2759
Phone (402) 230-7222

Other practice location 1

6901 Dodge St Ste 103
Omaha, NE 68132-2759
Phone (402) 230-7222

Other identifiers 1

IdentifierTypeStateIssuer
NA4094001MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220606001814 NE Practitioner - Clinical Social Worker 3971980210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affirming Joy Mental Health Services LLCGroup PAC ID 0244617587, 2 clinicians

Practice addresses (Care Compare)

6901 Dodge St
Suite 103
Omaha, NE 68132-2759
Phone (402) 230-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11756NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affirming Joy Mental Health Services, LLC CurrentSince Mar 15, 2022 Accepting new patients

Locations

6901 Dodge St
Ste 103
Omaha, NE 68132
Phone (402) 230-7222

8424 W Center Rd
Ste 203
Omaha, NE 68124
Phone (402) 230-7222

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

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1306300306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 DODGE ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322759",
            "telephone_number": "402-230-7222",
            "fax_number": "402-230-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 W CENTER RD STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243138",
            "telephone_number": "402-230-7222",
            "fax_number": "402-230-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Dodge St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681322759",
            "country_code": "US",
            "telephone_number": "402-230-7222",
            "fax_number": "402-230-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11756",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2522",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1968",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA4094001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.