Phyllis Leigh Cole, PSY.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002009573 Issued in MO

Practice address

3020 S Sagamont Ave Apt E12
Springfield, MO 65807-4930

Phone

(417) 894-5262

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1336348275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S SAGAMONT AVE APT E12",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074930",
            "telephone_number": "417-894-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S SAGAMONT AVE APT E12",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074930",
            "telephone_number": "417-894-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3554 S Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075183",
            "country_code": "US",
            "telephone_number": "417-890-2600",
            "fax_number": "417-890-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "PHYLLIS",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002009573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495755803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iran Neal Cohen, PHD
• Lori J Cohen, M.D.
• Colby Wang, MD, LLC
• Elizabeth J Cole, MA, LPC
• Miranda K Cole, PT
• Rachelle L Colegrove
• Deshawn D Coleman, PLP
• Jordan A Coleman, PSYD, LP
• Kathy L Coleman, SPEECH
• Kelly Alan Coleman, PT

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.