Shannon Elizabeth Phillips

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

20059080 Issued in TX

Practice address

2638 Two Notch Rd
Suite 106
Columbia, SC 29204-1454

Phone

(803) 898-0210

NPI assigned

Jan 24, 2012

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1710258678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 SOUTHERN DR",
            "address_2": "# 2709",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015189",
            "telephone_number": "972-898-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 TWO NOTCH RD",
            "address_2": "SUITE 106",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041454",
            "telephone_number": "803-898-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20059080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Japonica Lameka Phillips, FNP
• Jessica Chambers Phillips, DPT
• Katharine McChesney Phillips, PA
• Leslie M Phillips, PHARMD
• Morgan Elise Phillips, D.M.D.
• Sheketha Phillips, AAS,
• Wesley Phillips, D.D.S.
• Amy Phillipy, RN, BSN
• Aimee Phipps, LISW-CP
• Phoebe a. McLeod, PH.D.

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.