Active NPI
Dellla Mae Phipps, P.C.
- Professional Counselor
- Madison, WI
National Provider Identifier
1649511528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1609 - 226
- Practice address
- 8025 Excelsior Dr
Suite 110
Madison, WI 53717-1900 - Phone
- (608) 663-6154
- NPI assigned
- Mar 3, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1609 - 226 | WI | Primary |
Addresses
Primary practice location
8025 Excelsior Dr
Suite 110
Madison, WI 53717-1900
Mailing address
8025 Excelsior Dr
Suite 110
Madison, WI 53717-1900
Phone (608) 663-6154
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1609 - 226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Madison, WI
- NPI 1861622714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362268800000",
"number": "1649511528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 EXCELSIOR DR",
"address_2": "SUITE 110",
"city": "MADISON",
"state": "WI",
"postal_code": "537171900",
"telephone_number": "608-663-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8025 EXCELSIOR DR",
"address_2": "SUITE 110",
"city": "MADISON",
"state": "WI",
"postal_code": "537171900",
"telephone_number": "608-663-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "DELLLA",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-03",
"last_updated": "2013-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1609 - 226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.