Grace Phillips, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1415 Lincolnway W Ste T
Osceola, IN 46561-2063

Phone

(574) 651-8912

Fax

(574) 281-4412

NPI assigned

Aug 3, 2021

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

Electronic endpoints 1

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.

• Cornerstone Family Therapy

  • Mental Health Counselor
  • Osceola, IN
  • NPI 1346791688

  Mental Health

  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1699449769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LINCOLNWAY W STE T",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465612063",
            "telephone_number": "574-651-8912",
            "fax_number": "574-281-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LINCOLNWAY W STE T",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465612063",
            "telephone_number": "574-651-8912",
            "fax_number": "574-281-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GRACE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@cornerstonefamilytherapy.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1415 Lincolnway W Ste T",
            "city": "Osceola",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465612063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer W Njihia, FNP
• Steven Carl Obert, DC
• Joshua Ryan Tiller Pattengale, D.C.
• Kelley B Penrose, MPT,CCI
• Stephanie Peper, MA, CCC-SLP
• David Jordan Pirtle, DC
• Danielle Elizabeth Plavsa, M.S., CCC-SLP
• Ronald William Powell, M.D.
• Dan Dawayne Reynolds, R. EEG T. , CNIM
• River Valley Orthopedics & Sports Medicine PC

• All providers in Osceola, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.