Active NPI
Lisa Phillips, CDCA II
- Addiction (Substance Use Disorder) Counselor
- Youngstown, OH
National Provider Identifier
1558255976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 191341
- Practice address
- 4150 Pembrook Rd Apt 311
Youngstown, OH 44515-4661 - Phone
- (330) 503-6735
- NPI assigned
- Jun 9, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 191341 | OH | Primary |
Addresses
Primary practice location
4150 Pembrook Rd Apt 311
Youngstown, OH 44515-4661
Mailing address
4150 Pembrook Rd Apt 311
Youngstown, OH 44515-4661
Phone (330) 503-6735
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191341 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1558255976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 PEMBROOK RD APT 311",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445154661",
"telephone_number": "330-503-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 PEMBROOK RD APT 311",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445154661",
"telephone_number": "330-503-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LISA",
"credential": "CDCA II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "191341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.