Organization Active NPI

Phillips Mental Health Counseling, P.C

  • Mental Health Counselor
  • Fresh Meadows, NY
National Provider Identifier
1467913228
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHILLIPS MENTAL HEALTH COUNSELING, P.C
Practice address
6118 190TH St Ste 236
Fresh Meadows, NY 11365-2724
Phone
(917) 692-1459
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Ms. Lynda Phillips, LCMHC, NCCNPI 1750845285
Title
Mental Health Counselor
Phone
(917) 692-1459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6118 190TH St Ste 236
Fresh Meadows, NY 11365-2724

Mailing address

4 Broad Path
Lloyd Harbor, NY 11743-9763
Phone (917) 692-1459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206002861 NY Part B Supplier - Clinic/Group Practice 8628411766 Receives reassigned benefits from 1 practitioner
Practice locations: Fresh Meadows, NY

National Provider Directory

National Provider Directory

Locations

19402 Northern Blvd
Ste 212
Flushing, NY 11358

6118 190th St
Ste 236
Fresh Meadows, NY 11365
Phone (917) 692-1459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1467913228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BROAD PATH",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117439763",
            "telephone_number": "917-692-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 190TH ST STE 236",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652724",
            "telephone_number": "917-692-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS MENTAL HEALTH COUNSELING, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "917-692-1459",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.