William Joseph Phillips, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003285 Issued in VA

Practice address

43 Champions Ave
Big Stone Gap, VA 24219

Phone

(276) 523-8300

Fax

(423) 467-3644

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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 and National Provider Directory roles.

• Dickenson County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clintwood, VA
  • NPI 1649209990
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1699867606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CHAMPIONS AVE",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "24219",
            "telephone_number": "276-523-8300",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 S Flanagan Ave",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 McClure Ave",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242260309",
            "country_code": "US",
            "telephone_number": "276-926-1680",
            "fax_number": "276-926-9179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 S Flanagan Ave",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003285",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "424636",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COU",
            "identifier": "0701003285",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON/ANTHAM",
            "identifier": "385241",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Dru Page, BS
• Brenda Faye Palmer, LPN CSAC
• Pathway Healthcare-Virginia, LLC
• Elizabeth Perkins, PHARMD
• Mary Ann Phillips
• Brittany Potter, PHARMD
• Morgan Paige Powers, FNP
• Shaine Powers, DO
• Premier 1 Healthcare LLC
• Jason Matthew Price

• Professional Counselor in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Professional Counselor in Virginia

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