Active NPI
Johna J Phillipson, LMSW
- Clinical Social Worker
- Monticello, IA
National Provider Identifier
1679195572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 097826
- Practice address
- 112 W 1St St
Monticello, IA 52310-1519 - Phone
- (319) 975-1544
- Fax
- (509) 271-6151
- NPI assigned
- May 13, 2020
- Last updated
- May 13, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 097826 | IA | Primary |
Addresses
Primary practice location
112 W 1St St
Monticello, IA 52310-1519
Mailing address
10603 155TH St
Scotch Grove, IA 52310-7447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | johna@sunrisetherapyandcounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 S Main St
Suite B
Monticello, IA 52310-1751
Phone (319) 481-2221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Therapy & Counseling Services, LLC | Current | Accepting new patients |
Locations
139 S Main St
Ste B
Monticello, IA 52310
Phone (319) 481-2221
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Monticello, IA
- NPI 1801595244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1679195572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10603 155TH ST",
"city": "SCOTCH GROVE",
"state": "IA",
"postal_code": "523107447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W 1ST ST",
"city": "MONTICELLO",
"state": "IA",
"postal_code": "523101519",
"telephone_number": "319-975-1544",
"fax_number": "509-271-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPSON",
"first_name": "JOHNA",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "097826",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "johna@sunrisetherapyandcounseling.com",
"affiliation": "N",
"endpointDescription": "professional email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "112 W 1st St",
"city": "Monticello",
"state": "IA",
"country_code": "US",
"postal_code": "523101519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monticello, IA
- Nightingale Pharmacy 1St LLC (Nightingale Drug)
- Daniel James Noonan, LMSW
- Kelly Jo O'Reilly Alber, ARNP, FNP-BC
- Peace of Mind Therapy LLC
- Phillip N Fitch OD PC (Sigma Eyehealth Centers)
- Prairie Home Wellness and Counseling
- Prescription Shoppe, Inc. (Nightingale Drug)
- Emily P Recker, D.C.
- Reckers Family Chiropractic Services Inc (Family Chiropractic Services Inc)
- Meghan Rupp, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.