Active NPI
Laura Virginia Phillips, LPC-S
- Professional Counselor
- Houston, TX
National Provider Identifier
1831117225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19240
- Practice address
- 7807 Braesdale LN
Houston, TX 77071-1303 - Phone
- (713) 480-3098
- Fax
- (713) 583-8119
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | TPMC171 | FL | |
| Professional Counselor | 101YP2500X | 19240 | TX | Primary |
Addresses
Primary practice location
7807 Braesdale LN
Houston, TX 77071-1303
Mailing address
7807 Braesdale LN
Houston, TX 77071-1303
Phone (713) 480-3098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1707028-02 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC171 | FL | MD | Professional Counselor |
| 19240 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706313600000",
"number": "1831117225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 BRAESDALE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770711303",
"telephone_number": "713-480-3098",
"fax_number": "281-313-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7807 BRAESDALE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770711303",
"telephone_number": "713-480-3098",
"fax_number": "713-583-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LAURA",
"middle_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2024-01-27",
"certification_date": "2024-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "FL",
"license": "TPMC171",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1707028-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.