Phyllis Denise Page

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0732004950 Issued in VA

Practice address

315 Hospital Dr Ste 204a
Martinsville, VA 24112-1927

Phone

(276) 340-9136

NPI assigned

Nov 1, 2019

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 1Plus2 Public Partnership, LLC

  • Mental Health Counselor
  • Martinsville, VA
  • NPI 1134751183

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1629612601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HOWARD DR",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128049",
            "telephone_number": "276-340-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR STE 204A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121927",
            "telephone_number": "276-340-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "PHYLLIS",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T63352202",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0732004950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Mark Oneil, M.D.
• Annette N Oreilly Green, DPT
• Charles E Osborne, CRNAP
• Yamari Osgood, OTR/L
• Sarah Lynn Padgett, FNP-C
• Preston Henry Page, LCSW, LSATP
• Jack Allan Painter, M.D.
• Amanda Weatherford Pallone, MD
• Kelli Spencer Palmer, LCSW
• Amber Lace Paredes, COTA/L

• All providers in Martinsville, VA
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.