Individual provider Active NPI

Amy Lynn Phillips, LCPC, LMHC, EDD

  • Professional Counselor
  • Silver Spring, MD
National Provider Identifier
1790014488
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3364 Issued in MD
Practice address
3509 Olympic St
Silver Spring, MD 20906-3934
Phone
(301) 755-9469
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3364 MD Primary

Addresses

Primary practice location

3509 Olympic St
Silver Spring, MD 20906-3934

Mailing address

12527 NW Forest Spring LN
Portland, OR 97229-9360
Phone (202) 424-9616

Other practice location 1

110 N Cayuga St floor 4
Ithaca, NY 14850-4326
Phone (607) 229-1590

Other identifiers 1

IdentifierTypeStateIssuer
654736MedicaidMD

Other names 1

  • Dr. Sara August Cahanin Former name

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

LicenseStateTypeSpecialty
LC3364MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1790014488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12527 NW FOREST SPRING LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299360",
            "telephone_number": "202-424-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 OLYMPIC ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209063934",
            "telephone_number": "301-755-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Cayuga St floor 4",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148504326",
            "country_code": "US",
            "telephone_number": "607-229-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "LCPC, LMHC, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654736",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CAHANIN",
            "middle_name": "AUGUST",
            "prefix": "DR.",
            "credential": "LCPC, LMHC, EDD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.