Mary Philipp, MA, LLP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6301006162 Issued in MI

Practice address

2615 Stadium Dr
Kalamazoo, MI 49008-1654

Phone

(269) 343-1651

Fax

(269) 382-7078

NPI assigned

May 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Mid-America Psychological Services, P. C.

  • Clinical Social Worker
  • Portage, MI
  • NPI 1376682641
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1821358037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 W MAIN ST STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063731",
            "telephone_number": "269-763-5250",
            "fax_number": "269-775-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081654",
            "telephone_number": "269-343-1651",
            "fax_number": "269-382-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPP",
        "first_name": "MARY",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6301006162",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301006162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Phares, DDS, MS
• Phelps Partners, PC
• Paul Phelps Sr., MAR
• Shelly Marie Phelps, M.A. TLLP
• Jennifer Philburn, DO
• Phillip T. Doyle DDS PC
• Maryann Phillippi, MD
• Jessica Phillips-Smith
• Christine S Phillips
• Donavon Phillips

• Addiction (Substance Use Disorder) Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.