Tracy Phillips

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

135374

Practice address

2750 S Harbor Blvd Ste G
Santa Ana, CA 92704-5820

Phone

(866) 746-1558

NPI assigned

Jul 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rising Roads Recovery Services for Women, LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1952811978
  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1588397103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S HARBOR BLVD STE G",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045820",
            "telephone_number": "866-746-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S HARBOR BLVD STE G",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045820",
            "telephone_number": "866-746-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "135374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Rotter, MD Inc.
• Alonzanique Phillips
• Barbara Phillips
• Geoffrey B. Phillips, M.D.
• Nabil A Phillips, M.D.
• Phlebotomy Direct, LLC
• Phleetbo LLC
• Letu Pho, RPH.
• Phoenix House Orange County, Inc
• Phoenix House Orange County, Inc

• Addiction (Substance Use Disorder) Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.