Individual provider Active NPI

Dana Kristine Phillips, LPC, NCC, SAC,MA

  • Professional Counselor
  • Barrington, NJ
National Provider Identifier
1356708218
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00477200 Issued in NJ
Practice address
630 Clements Bridge Rd
Barrington, NJ 08007-1814
Phone
(856) 617-4267
NPI assigned
Jan 24, 2016
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00477200 NJ Primary

Addresses

Primary practice location

630 Clements Bridge Rd
Barrington, NJ 08007-1814

Mailing address

630 Clements Bridge Rd
Barrington, NJ 08007-1814
Phone (856) 617-4267

Other names 1

  • Miss Dana Kristine Logandro Former name

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

LicenseStateTypeSpecialty
37PC00477200NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1356708218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-617-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-617-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DANA",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, SAC,MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00477200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "LOGANDRO",
            "middle_name": "KRISTINE",
            "prefix": "MISS",
            "credential": "LPC, NCC, SAC,MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barrington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.