Elizabeth Ellen Terrell Phillips

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2981 Issued in CO

Legal business name

ELIZABETH ELLEN TERRELL PHILLIPS

Practice address

3307 S College Ave Unit 200-13
Fort Collins, CO 80525-4196

Phone

(970) 282-0646

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Elizabeth Ellen Terrell Phillips, LPCNPI 1245394675

Title

Licensed Professional Counselor

Phone

(970) 282-0646

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Terrell Phillips, LPC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1245394675
  NPD (past) Authorized official

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1326491630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ANTELOPE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253550",
            "telephone_number": "970-282-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 S COLLEGE AVE UNIT 200-13",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254196",
            "telephone_number": "970-282-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ELLEN TERRELL PHILLIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "TERRELL PHILLIPS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "970-282-0646",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.