Christa Lynn Phillips

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1341 W Hill Ave
Valdosta, GA 31601-5235

Phone

(229) 249-7730

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Pathway to Hope Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Valdosta, GA
  • NPI 1578703385

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1417658733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SECOND ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833722",
            "telephone_number": "404-822-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 W HILL AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015235",
            "telephone_number": "229-249-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie P Peterson, NP-C
• Stephani Jo Peterson
• Emily Gray Pettit, PHARM.D.
• Pharmacy Alternatives, LLC
• Michelle Phelps
• Cynthia Phillips
• Kelly Phillips, RN
• Shandra Phillips
• Thomas E Phillips, MD
• Physicians Institute for Pain Management ASC, LLC

• Mental Health Counselor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.