Kelly Phillips

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

710 W 18TH St Ste 10
Merced, CA 95340-4629

Phone

(209) 355-5574

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Symple Equazion

  • Case Management Agency
  • Merced, CA
  • NPI 1437970688
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1689495822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 NEBELA DR",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012551",
            "telephone_number": "209-355-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 18TH ST STE 10",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404629",
            "telephone_number": "209-355-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Pettersson
• Kelly C Phanh, PA
• Jessica Josephine Phe, LCSW
• Sandy Phengsavanh, PHARMD
• Frances Sophia Phillips, RN
• Roger Steve Phillips, M.D.
• Philos Therapeutic a Licensed Clinical Social Worker Corporation (Philos Therapeutic)
• Ellen E Piernot, MD
• David Michael Pilkington, M.D.
• Juana Pimentel

• Counselor in Merced, CA
• Providers in Merced, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.