Active NPI
David Lee Phillips, MS
- Mental Health Counselor
- Snohomish, WA
National Provider Identifier
1609867860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00005361
- Practice address
- 1002 10TH St
Snohomish, WA 98290-2024 - Phone
- (425) 953-4361
- Fax
- (425) 953-4361
- NPI assigned
- Nov 4, 2005
- Last updated
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00005361 | WA | Primary |
Addresses
Primary practice location
1002 10TH St
Snohomish, WA 98290-2024
Mailing address
1002 10TH St
Snohomish, WA 98290-8300
Phone (425) 953-4361
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182368 | Other | WA | COMPSYCH |
| 205394 | Other | WA | MANGED HEALTH NETWORK ID |
| 7444PH | Other | WA | REGENCE BLUE SHIELD |
| 2030370 | Other | WA | CIGNA BEHAV. HEALTH ID # |
| 056368 | Other | WA | HORIZON BEHAV. SERV. ID # |
| 555451001 | Other | WA | GROUP HEALTH ID # |
| 8927542 | Other | WA | CRIME VICTIMS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240910000842 | WA | Practitioner - Mental Health Counselor | 3476093014 | Practice locations: Snohomish, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1002 10TH St
Snohomish, WA 98290-8300
Phone (425) 953-4361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00005361 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judy Volmert, MSW Lisw | Past | Accepting new patients | |
| David Phillips, LMHC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Snohomish, WA
- NPI 1992919609
-
- Clinical Social Worker
- Snohomish, WA
- NPI 1265646962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1609867860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 10TH ST",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982908300",
"telephone_number": "425-953-4361",
"fax_number": "425-953-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 10TH ST",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902024",
"telephone_number": "425-953-4361",
"fax_number": "425-953-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DAVID",
"middle_name": "LEE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00005361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "182368",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANGED HEALTH NETWORK ID",
"identifier": "205394",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "7444PH",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAV. HEALTH ID #",
"identifier": "2030370",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BEHAV. SERV. ID #",
"identifier": "056368",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH ID #",
"identifier": "555451001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS COMP",
"identifier": "8927542",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.