Active NPI
Rose Steeg Phillips, MA, LMFT
- Marriage & Family Therapist
- Prescott, AZ
National Provider Identifier
1629154588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 10202
- Practice address
- 3101 Clearwater Dr
Suite B
Prescott, AZ 86305 - Phone
- (928) 717-2505
- Fax
- (928) 717-2504
- NPI assigned
- Oct 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 10202 | AZ | Primary |
Addresses
Primary practice location
3101 Clearwater Dr
Suite B
Prescott, AZ 86305
Mailing address
2280 Sandia Dr
Prescott, AZ 86301-5308
Phone (928) 717-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 960973 | Medicaid | AZ |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 10202 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629154588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 SANDIA DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863015308",
"telephone_number": "928-717-2505",
"fax_number": "928-717-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 CLEARWATER DR",
"address_2": "SUITE B",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-717-2505",
"fax_number": "928-717-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ROSE",
"middle_name": "STEEG",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT 10202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "960973",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Paul Christian Pflueger, MD
- Ha Le Pham, PA-C
- Pharx2, PLLC (Prescott Compounding Pharmacy)
- Brenda Phillips
- Lisa Phillips, RD
- Phoenix Anesthesia Specialists, LLC
- Phoenix Cardiac Surgery (Yavapai Cardiac Surgery)
- Physician Business Services LLC
- Physician Business Services, LLC (Prescott Mile High Primary Care)
- Pia'S Place
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.