Jamey Phillips, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5380 Issued in OR

Practice address

1170 Pearl St
Eugene, OR 97401-3541

Phone

(541) 743-4340

Fax

(541) 743-4369

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

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.

• Jasper Mountain

  • Mental Illness Community Based Residential Treatment Facility
  • Jasper, OR
  • NPI 1497821680
  NPD (past)
• Jasper Mountain

  • Adolescent and Children Mental Health Clinic/Center
  • Jasper, OR
  • NPI 1891462784
  NPD (past)
• Oslc Community Programs

  • Adolescent and Children Mental Health Clinic/Center
  • Eugene, OR
  • NPI 1295747186
  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1306486329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013541",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013541",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89124 Marcola Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974788780",
            "country_code": "US",
            "telephone_number": "541-741-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAMEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jameyp@jaspermountain.org",
            "affiliation": "Y",
            "affiliationName": "Jasper Mountain",
            "address_1": "37875 Jasper Lowell Rd",
            "city": "Jasper",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974389751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jameyp@jaspermountain.org",
            "affiliation": "Y",
            "affiliationName": "Jasper Mountain",
            "address_1": "37875 Jasper Lowell Rd",
            "city": "Jasper",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974389751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jameyp@jaspermountain.org",
            "affiliation": "Y",
            "affiliationName": "Jasper Mountain",
            "address_1": "37875 Jasper Lowell Rd",
            "city": "Jasper",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974389751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisha Phillips
• Allen Ray Phillips, LMT
• Bryan R Phillips
• Deborah A Phillips, PHD, ARNP
• Dorothy Page Phillips, MA
• Jennifer Phillips, LMT
• Jerry Lynn Phillips, O.D.
• Laura A Phillips, LMT
• Michelle Phillips
• Opal Arachne Phillips

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.