Active NPI
Hannah M Phillips, M.D.
- Mental Health Counselor
- Little Rock, AR
National Provider Identifier
1316917628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C-7136
- Practice address
- 11219 Financial Centre Parkway
Suite 314
Little Rock, AR 72211 - Phone
- (501) 221-9966
- Fax
- (501) 221-3675
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C-7136 | AR | Primary |
Addresses
Primary practice location
11219 Financial Centre Parkway
Suite 314
Little Rock, AR 72211
Mailing address
P.O. Box 22664
Little Rock, AR 72221
Phone (501) 225-4556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-7136 | Other | AR | LICENSE NUMBER |
| 114197001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-7136 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1316917628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 22664",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72221",
"telephone_number": "501-225-4556",
"fax_number": "501-225-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11219 FINANCIAL CENTRE PARKWAY",
"address_2": "SUITE 314",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72211",
"telephone_number": "501-221-9966",
"fax_number": "501-221-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "HANNAH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "C-7136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "C-7136",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114197001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.