Kelly G Phillips, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1175 Issued in NC

Practice address

108 Oakmont Dr
Greenville, NC 27858-5936

Phone

(252) 355-2801

NPI assigned

May 23, 2007

Last updated

Jun 24, 2024By the provider in NPPES

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

Enrolled in NC

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

Marriage and Family Therapist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carenet, Inc.

  dba Baptist Hospital Carenet Counseling Centers

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1043424013
  Medicare reassignment Care Compare group NPD
• Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376432492

  Marriage & Family Therapist

  NPD
• Carenet, Inc.

  dba Baptist Hospital Carenet Counseling Centers

  • Mental Health Counselor
  • Greenville, NC
  • NPI 1518170687
  NPD
• Carenet, Inc

  • Professional Counselor
  • Lexington, NC
  • NPI 1659946804
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1467662106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OAKMONT DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585936",
            "telephone_number": "252-355-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035A Director Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585996",
            "country_code": "US",
            "telephone_number": "252-717-7464",
            "fax_number": "252-321-4946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KELLY",
        "middle_name": "G",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Eric Phillips, DMD
• Charles M Phillips, MD
• Daniel J Phillips, CRNA
• Kathryn Lynn Phillips, AGNP
• Keeshunda Andrieka Phillips, LCMHCA
• Kimberly Dawn Phillips, OTR/L
• Marlena Leann Phillips, CPNP, AC/PC
• Marquelvous Phillips
• Melissa Ivey Phillips, PH.D.
• Rhiannon Phillips, SLP

• Marriage & Family Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.