Active NPI
Constance Denise Phillips, MS, LCDC, CDVC
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1508469081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 8315
- Practice address
- 18711 Abiding CT
Houston, TX 77073-1915 - Phone
- (832) 706-7364
- Fax
- (832) 201-0620
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8315 | TX | Primary |
| Counselor | 101Y00000X | 23679 | TX |
Addresses
Primary practice location
18711 Abiding CT
Houston, TX 77073-1915
Mailing address
18711 Abiding CT
Houston, TX 77073-1915
Phone (832) 706-7364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23679 | TX | MD | Counselor |
| 8315 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1508469081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18711 ABIDING CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770731915",
"telephone_number": "832-706-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18711 ABIDING CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770731915",
"telephone_number": "832-706-7364",
"fax_number": "832-201-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CONSTANCE",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MS, LCDC, CDVC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "8315",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "23679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.