Courtney Samantha Phelps

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M.2300339-TRNE Issued in OH

Practice address

450 W Wilson Bridge Rd Ste 350
Worthington, OH 43085-5220

Phone

(614) 245-5119

NPI assigned

Aug 22, 2022

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

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1679291926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 3100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430351123",
            "telephone_number": "740-428-0428",
            "fax_number": "740-909-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W WILSON BRIDGE RD STE 350",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855220",
            "telephone_number": "614-245-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Graphics Way Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Lewis Center",
            "state": "OH",
            "postal_code": "430351123",
            "country_code": "US",
            "telephone_number": "740-428-0428",
            "fax_number": "740-909-4077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "COURTNEY",
        "middle_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.2300339-TRNE",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Peterson
• Cassandra Heather Nicole Petrey
• Melissa Petty
• Thanh Xuan Phan, PHARMD, MS
• Pharmerica East LLC (PharMerica)
• Terrence M Philbin, DO
• Emily Elizabeth Phillips, OTR/L
• Irish Phillips
• Reynoldon Phillips
• Sarah Elizabeth Phoenix, CNP

• Marriage & Family Therapist in Worthington, OH
• Providers in Worthington, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.