Andy Littleton Phillips, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

40 Royal Oak Dr
Palm Coast, FL 32164-6994

Phone

(386) 586-7907

NPI assigned

Dec 21, 2016

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1598200974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROYAL OAK DRIVE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "386-302-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROYAL OAK DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646994",
            "telephone_number": "386-586-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDY",
        "middle_name": "LITTLETON",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-23-289260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earle M Pescatore Jr., D.O.
• Scott Peters, APRN
• James Michael Peyton, DOM
• Karna Jo Pfisterer
• Julie Anderson Philip, DNP, AG-ACNP
• Phoenix Primary Care LLC
• Physical Therapy & Wellness in Motion, Inc
• Physical Therapy Professionals & Associates, Inc. (Palm Coast Physical Therapy Center)
• Physical Therapy Specialists, LLC
• Aurora Picardat, APRN

• Mental Health Counselor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.