Mary Beth Phillips, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT16204 Issued in CA

Practice address

3147 Lippizaner LN
Walnut Creek, CA 94598-4606

Phone

(925) 765-8618

NPI assigned

Jul 25, 2022

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

Other names 1

• Mary Beth Cahill-Phillips Other name

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1780310672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 LIPPIZANER LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984606",
            "telephone_number": "925-765-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 LIPPIZANER LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984606",
            "telephone_number": "925-765-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT16204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "CAHILL-PHILLIPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Van Hoang Pham, O.D.
• Jena N Phan
• Pharma Alliance LLC
• PHC Acquisition Corporation
• Thomas Edward Philbert, MD
• Samuel Noah Phillips, LCSW
• Eddy Q. Pho, MD
• Phoenix Advanced Medical Associates
• Malinee Phumiwasana
• Thomas T. Phuriphan, MD

• Mental Health Counselor in Walnut Creek, CA
• Providers in Walnut Creek, 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 Jul 25, 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.

Verify at the official NPI Registry.