Max J Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2023001049 Issued in MO

Practice address

705 E Laharpe St Ste C
Kirksville, MO 63501-4526

Phone

(660) 988-9669

Fax

(888) 414-6717

NPI assigned

Jan 14, 2021

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison Phillips Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Counseling IncGroup PAC ID 1658719968, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Counseling Inc

  • Professional Counselor
  • Kirksville, MO
  • NPI 1750848032

  Clinical

  Medicare reassignment Care Compare group NPD
• DBT Columbia LLC

  • Mental Health Counselor
  • Kirksville, MO
  • NPI 1699358861
  NPD
• Aspire Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MO
  • NPI 1619567039
  NPD (past)

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1346839271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635010924",
            "telephone_number": "660-988-9669",
            "fax_number": "888-414-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E LAHARPE ST STE C",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014526",
            "telephone_number": "660-988-9669",
            "fax_number": "888-414-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MAX",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2021-01-14",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023001049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490143641",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "PHILLIPS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa C Peters, PTA
• Tysen J Petre, D.O.
• Benjamin Andrew Pettit, AU.D.
• Douglas Gene Petty, RPH
• Thao Pham, DO
• Ronald Leland Phillips, MD
• Ricardo Michael Phipps, PH.D, LCPC, LPC, NCC
• Physician Services of Missouri LLC
• Savin Balathandan Pillai, DO
• Matthew Michael Piontek

• Clinical Social Worker in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.