Individual provider Active NPI

David Lee Phillips, MS

  • Mental Health Counselor
  • Snohomish, WA
National Provider Identifier
1609867860
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005361 Issued in WA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
182368OtherWACOMPSYCH
205394OtherWAMANGED HEALTH NETWORK ID
7444PHOtherWAREGENCE BLUE SHIELD
2030370OtherWACIGNA BEHAV. HEALTH ID #
056368OtherWAHORIZON BEHAV. SERV. ID #
555451001OtherWAGROUP HEALTH ID #
8927542OtherWACRIME 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LH00005361WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Judy Volmert, MSW Lisw Past Accepting new patients
David Phillips, LMHC PastSince Jul 17, 2024 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.

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

Verify at the official NPI Registry.