Phillip Michael Tongier, LMLP, LPC, J.D.
Individual provider Active NPI Psychologist · Baxter Springs, KS
NPI 1376683532 · NPPES record last updated May 18, 2016
Key facts
- NPI
- 1376683532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 290 (KS)
- Practice address
- 2990 Military Ave
Baxter Springs, KS 66713-2331 - Phone
- (620) 856-2900
- Fax
- (620) 856-2901
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290 | KS | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 290 | KS | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 413 | KS |
Addresses
Primary practice location
2990 Military Ave
Baxter Springs, KS 66713-2331
Mailing address
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873
Other providers in Baxter Springs, KS
- Spring Valley Regional Center for Youth, Inc.
- St. John'S Medical Group
- Vallerie L Sweeton
- Crystal Marie Taylor
- Audrey Nicole Thompson
- Latasha Vick
- Wal-Mart Stores Inc
- Walgreen Co
- Steven F Werder
- Daniel Wesley Williams
All providers in Baxter Springs, KS · Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.