Active NPI
Janet Gayle Phillips, LICENSED MENTAL HEAL
- Counselor
- Cocoa Beach, FL
National Provider Identifier
1336289537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH1093
- Practice address
- 109 Sunset Dr
Cocoa Beach, FL 32931 - Phone
- (321) 783-4087
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH1093 | FL | Primary |
Addresses
Primary practice location
109 Sunset Dr
Cocoa Beach, FL 32931
Mailing address
109 Sunset Dr
Cocoa Beach, FL 32931
Phone (321) 783-4087
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 |
|---|---|---|---|
| MH1093 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336289537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SUNSET DR",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "32931",
"telephone_number": "321-783-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SUNSET DR",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "32931",
"telephone_number": "321-783-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JANET",
"middle_name": "GAYLE",
"name_prefix": "Ms.",
"credential": "LICENSED MENTAL HEAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.