Active NPI
Ronald Kent Phillips, MA
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1346489895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.010068
- Practice address
- 333 N. Michigan Avenue
Suite # 602
Chicago, IL 60601-1033 - Phone
- (269) 277-6657
- NPI assigned
- Feb 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.010068 | IL | Primary |
| Psychologist | 103T00000X | 6301012652 | MI |
Addresses
Primary practice location
333 N. Michigan Avenue
Suite # 602
Chicago, IL 60601-1033
Mailing address
333 N. Michigan Avenue
Suite # 602
Chicago, IL 60601-1033
Phone (269) 277-6657
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010068 | IL | MD | Mental Health Counselor |
| 6301012652 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1346489895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N. MICHIGAN AVENUE",
"address_2": "SUITE # 602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606011033",
"telephone_number": "269-277-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N. MICHIGAN AVENUE",
"address_2": "SUITE # 602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606011033",
"telephone_number": "269-277-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "RONALD",
"middle_name": "KENT",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-06",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.010068",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301012652",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.