Jackson B Phillips, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704018305 Issued in VA

Practice address

901 Preston Ave Ste 401
Charlottesville, VA 22903-4491

Phone

(434) 218-0405

NPI assigned

Oct 28, 2025

Last updated

Oct 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1346118528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 DELPHI LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113658",
            "telephone_number": "434-218-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRESTON AVE STE 401",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034491",
            "telephone_number": "434-218-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JACKSON",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704018305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemima Philip
• Steven Thomas Philips, MD, PH.D.
• Brandon Phillips, PSY.D.
• Douglas Richard Phillips, DDS
• Frank H. Phillips
• Katharine Phillips
• Lauren Phillips, FNP-C
• Lawrence Hamilton Phillips II, MD
• Steven Robert Phillips, DO
• Samantha J Philman, M.D., M.P.H.

• Mental Health Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.