Active NPI
Philip Howell, LMHC
- Mental Health Counselor
- Kokomo, IN
National Provider Identifier
1770613788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39002105A
- Practice address
- 3415 S Lafountain St Ste F
Kokomo, IN 46902-3826 - Phone
- (765) 506-7992
- Fax
- (888) 625-1498
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002105A | IN | Primary |
Addresses
Primary practice location
3415 S Lafountain St Ste F
Kokomo, IN 46902-3826
Mailing address
3415 S Lafountain St Ste F
Kokomo, IN 46902-3826
Phone (765) 067-9925
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000630982 | Other | IN | ANTHEM |
| 000456858 | Other | IN | OPTUM |
| 600055345 | Other | IN | MAGELLAN |
| 2391063 | Other | IN | CIGNA |
| 9380405 | Other | IN | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002105A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1770613788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 S LAFOUNTAIN ST STE F",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023826",
"telephone_number": "765-067-9925",
"fax_number": "888-625-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 S LAFOUNTAIN ST STE F",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023826",
"telephone_number": "765-506-7992",
"fax_number": "888-625-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002105A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000630982",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "000456858",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "600055345",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2391063",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9380405",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.