Individual provider Active NPI

Jonna Beth Phillips, LMFT

  • Marriage & Family Therapist
  • Hudson, WI
National Provider Identifier
1609123132
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2220 Issued in MN
Practice address
519 Old Highway 35 S
Hudson, WI 54016-8144
Phone
(612) 499-3424
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 19841-875 WI
Marriage & Family Therapist 106H00000X 2220 MN Primary

Addresses

Primary practice location

519 Old Highway 35 S
Hudson, WI 54016-8144

Mailing address

519 Old Highway 35 S
Hudson, WI 54016-8144
Phone (612) 499-3424

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

LicenseStateTypeSpecialty
19841-875WIMDMarriage & Family Therapist
2220MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Counseling and Coaching, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

8120 Moorsbridge Rd
Ste 203
Portage, MI 49024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1609123132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 OLD HIGHWAY 35 S",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168144",
            "telephone_number": "612-499-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 OLD HIGHWAY 35 S",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168144",
            "telephone_number": "612-499-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JONNA",
        "middle_name": "BETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "19841-875",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.