Maria Fabiola Philip

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC008496 Issued in GA

Practice address

2973 Evans Oaks CT
Atlanta, GA 30340-4300

Phone

(646) 243-9324

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• New Vision Counseling Center, LLC

  • Professional Counselor
  • Douglasville, GA
  • NPI 1578704250
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1801516281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 EVANS OAKS CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 EVANS OAKS CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404300",
            "telephone_number": "646-243-9324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 Strickland St",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301341261",
            "country_code": "US",
            "telephone_number": "678-838-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "MARIA",
        "middle_name": "FABIOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Philbrook, MD
• Phaethon Philbrook, MD, PHD
• Rossanne M. Philen, M.D.
• Philip S Graffunder Ms MSW LCSW LLC
• Janet Sarah Philip
• Sandra Milena Philip, CPNP
• Jean Joseph Philippe-Dambreville, MD
• Ann Philippe
• Roberson Jean Philippe, PRIVATE HOME CARE
• Zachary Alan Philippi

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.