James R Phillips, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LCPC-144 Issued in ID

Practice address

532 Bryden Ave
Lewiston, ID 83501-4445

Phone

(208) 798-5168

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 14, 2025 through Jan 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Phillips Agency, Inc

  • Counseling Psychologist
  • Lewiston, ID
  • NPI 1053444604
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629159140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014445",
            "telephone_number": "208-798-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014445",
            "telephone_number": "208-798-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-305",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "LCPC-144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmine John Petracca, OD
• Raynette Pearl Petrie, LCSW
• Brooke Peidan Pfaff
• Phil Waggoner
• Phillips Agency, Inc
• Phoenix Radiology, PLLC
• Anthony Robert Picchena, LCSW
• Sennett Ames Pierce Sr, D.O.
• James E Pierce, DDS
• Pinecrest Academy of Lewiston Inc.

• Counseling Psychologist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Counseling Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.