NPIMap

Organization Active NPI

Phases Counseling & Mental Health Services, PLLC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1508106048
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65614 Issued in TX
Legal business name
PHASES COUNSELING & MENTAL HEALTH SERVICES, PLLC
Practice address
5787 S Hampton Rd Ste 230-K
Dallas, TX 75232-2255
Phone
(469) 730-3360
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Sonja L. Shipp, LPC, LCDCNPI 1356782098
Title
Sole Member
Phone
(469) 730-3360

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 11144 TX
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 65614 TX Primary

Addresses

Primary practice location

5787 S Hampton Rd Ste 230-K
Dallas, TX 75232-2255

Mailing address

PO Box 1638
Desoto, TX 75123-1638
Phone (469) 730-3360

National Provider Directory

National Provider Directory

Locations

5787 S Hampton Rd
Ste 230K
Dallas, TX 75232
Phone (469) 730-3360

Practitioners & affiliated clinicians

Practitioners 2

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": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1508106048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1638",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751231638",
            "telephone_number": "469-730-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD STE 230-K",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322255",
            "telephone_number": "469-730-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES COUNSELING & MENTAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "469-730-3360",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11144",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.