Individual provider Active NPI

Michelle Marie Phillips, LPCC

  • Mental Health Counselor
  • Greenville, OH
National Provider Identifier
1790022820
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9169 Issued in NC
Practice address
127 W 5TH St Uppr
Greenville, OH 45331-1410
Phone
(812) 202-7177
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9169 NC Primary

Addresses

Primary practice location

127 W 5TH St Uppr
Greenville, OH 45331-1410

Mailing address

127 W 5TH St Uppr
Greenville, OH 45331-1410
Phone (812) 202-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122000880 OH Practitioner - Mental Health Counselor 9931686896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8034 E 100
Union City, IN 47390-9125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9169NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
White Lotus Counseling Center LLC Mental Health CurrentSince Oct 27, 2025 Accepting new patients

Locations

127 W 5th St
Uppr
Greenville, OH 45331
Phone (812) 202-7177

200 Wagner Ave
Greenville, OH 45331

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1790022820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W 5TH ST UPPR",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311410",
            "telephone_number": "812-202-7177",
            "fax_number": "855-930-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W 5TH ST UPPR",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311410",
            "telephone_number": "812-202-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.