Ava Denise Phillips, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC37600 Issued in CA

Practice address

220 S Indian Hill Blvd Ste E
Claremont, CA 91711-4929

Phone

(909) 536-5866

Fax

(855) 850-4057

NPI assigned

Feb 28, 2007

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

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1699803197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1236",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111236",
            "telephone_number": "909-624-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S INDIAN HILL BLVD STE E",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114929",
            "telephone_number": "909-536-5866",
            "fax_number": "855-850-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672535",
            "country_code": "US",
            "telephone_number": "909-624-1233 x2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AVA",
        "middle_name": "DENISE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC37600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gregory Peterson, DMD, MS
• Susana Petrosyan
• Autumn Rose Petrovsky
• Matthew Pham
• Philcare Hospice Inc
• Rebecca Jemma Phillips
• Sara Piecukonis, MS, RD
• Demetria Pierre, M.A.
• Julie Piibe, LCSW
• Pilgrim Place in Claremont

• Mental Health Counselor in Claremont, CA
• Providers in Claremont, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.