Individual provider Active NPI

Brittany Phillips

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1689118408
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010583 Issued in GA
Practice address
3116 Maple Dr NE
Atlanta, GA 30305
Phone
(404) 846-0699
NPI assigned
Dec 13, 2016
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC005148 GA
Mental Health Counselor 101YM0800X LPC010583 GA Primary

Addresses

Primary practice location

3116 Maple Dr NE
Atlanta, GA 30305

Mailing address

290 Still Pine BND
Smyrna, GA 30082-1856
Phone (770) 833-1916

Other practice location 1

1017 Fayetteville Rd SE
Suite B
Atlanta, GA 30316-2932
Phone (404) 324-4190

Other practice location 2

1017 Fayetteville Rd SE
Suite B
Atlanta, GA 30316-2932
Phone (404) 324-4190

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

LicenseStateTypeSpecialty
APC005148GAMDMental Health Counselor
LPC010583GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1689118408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 STILL PINE BND",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300821856",
            "telephone_number": "770-833-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 MAPLE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-846-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1017 Fayetteville Rd SE",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303162932",
            "country_code": "US",
            "telephone_number": "404-324-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 Fayetteville Rd SE",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303162932",
            "country_code": "US",
            "telephone_number": "404-324-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005148",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.