Individual provider Active NPI

Johna J Phillipson, LMSW

  • Clinical Social Worker
  • Monticello, IA
National Provider Identifier
1679195572
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097826 Issued in IA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418002169 IA Practitioner - Clinical Social Worker 8325413644 Reassigns benefits to 1 organization

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
Sunrise Therapy and Counseling Services LLCGroup PAC ID 6608240213, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Sunrise Therapy & Counseling Services, LLC CurrentSince Apr 1, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.