Linda Marie Phillips, LCDC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDC111.161683 Issued in OH

Practice address

11821 Sr 160
Vinton, OH 45686

Phone

(174) 057-7167

NPI assigned

Jun 11, 2018

Last updated

Jun 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Field of Hope Community Campus, Inc.

  • Adult Mental Health Clinic/Center
  • Vinton, OH
  • NPI 1013590819
  NPD (past)
• Field of Hope Community Campus, Inc.

  dba Field of Hope

  • Community/Behavioral Health Agency
  • Vinton, OH
  • NPI 1932592839
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1689167165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 SR 160",
            "city": "VINTON",
            "state": "OH",
            "postal_code": "45686",
            "telephone_number": "740-245-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 SR 160",
            "city": "VINTON",
            "state": "OH",
            "postal_code": "45686",
            "telephone_number": "174-057-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC111.161683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-4752905",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen McConnell, CT
• Jacob McGhee
• Jennifer McGinness
• Kristen Mershon, CDCA
• Lori Owens
• Jo A Pritt
• Amy Lee Putney
• Brittney Qualls
• Leeann Raynor, CDCA
• Jessica F Reed

• Addiction (Substance Use Disorder) Counselor in Vinton, OH
• Providers in Vinton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.