Active NPI
Ginger Phillips
- Addiction (Substance Use Disorder) Counselor
- Everett, WA
National Provider Identifier
1609142744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP00002627
- Practice address
- 4526 Federal Ave
Everett, WA 98203-2132 - Phone
- (425) 349-6200
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00045514 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00002627 | WA | Primary |
Addresses
Primary practice location
4526 Federal Ave
Everett, WA 98203-2132
Mailing address
4526 Federal Ave
Everett, WA 98203-2132
Phone (360) 384-2330
Other practice location 1
3240 Northwest Ave
Bellingham, WA 98225-1318
Phone (360) 450-5025 ext. 203
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 |
|---|---|---|---|
| CP00002627 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LP00045514 | WA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCHS, Inc | Current | Accepting new patients |
Locations
3240 Northwest Ave
Bellingham, WA 98225
Phone (360) 450-5025
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": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1609142744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4526 FEDERAL AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032132",
"telephone_number": "360-384-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4526 FEDERAL AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032132",
"telephone_number": "425-349-6200"
}
],
"practiceLocations": [
{
"address_1": "3240 Northwest Ave",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982251318",
"country_code": "US",
"telephone_number": "360-450-5025 x203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "GINGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00045514",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00002627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.