Individual provider Active NPI

Dylan Phillips, LPC

  • Professional Counselor
  • Sulphur Springs, TX
National Provider Identifier
1568946606
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81701 Issued in TX
Practice address
655 Airport Rd
Sulphur Springs, TX 75482-2009
Phone
(903) 438-3270
NPI assigned
Sep 24, 2018
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81701 TX Primary

Addresses

Primary practice location

655 Airport Rd
Sulphur Springs, TX 75482-2009

Mailing address

655 Airport Rd
Sulphur Springs, TX 75482-2009
Phone (039) 438-3270

Other practice location 1

4996 County Road 2131
Detroit, TX 75436-3728
Phone (903) 517-4254

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241216002186 TX Practitioner - Mental Health Counselor 0648620377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakes Regional Mental Health Mental Retardation CenterGroup PAC ID 9739175225, 18 clinicians

Practice addresses (Care Compare)

1300 W 16TH St
Mt Pleasant, TX 75455-2046
Phone 97252441591183

400 Airport Rd
Terrell, TX 75160-4302
Phone 97252441591183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1568946606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AIRPORT RD",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822009",
            "telephone_number": "039-438-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AIRPORT RD",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822009",
            "telephone_number": "903-438-3270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4996 County Road 2131",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "TX",
            "postal_code": "754363728",
            "country_code": "US",
            "telephone_number": "903-517-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DYLAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

Verify at the official NPI Registry.