Individual provider Active NPI

Elaine Phillips, LPC

  • Counselor
  • Daubury, CT
National Provider Identifier
1861436784
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
000647 Issued in CT
Practice address
100 Mill Plain Rd
Ste 366
Daubury, CT 06811-5178
Phone
(203) 791-3828
Fax
(203) 791-3885
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000647 CT Primary

Addresses

Primary practice location

100 Mill Plain Rd
Ste 366
Daubury, CT 06811-5178

Mailing address

100 Mill Plain Rd
Ste 366
Daubury, CT 06811-5178
Phone (203) 791-3828

Other identifiers 6

IdentifierTypeStateIssuer
P2134362OtherOXFORD HEALTH PLANS
PHILELANOtherCORP HEALTH INC
240000647CT01OtherANTHEM BLUE CROSS BLUE SH
5887739OtherAETNA
PIN309006OtherMANAGED HEALTH NETWORK
IP556121OtherMAGELLAN BEHAVIORAL HEALT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240417000239 CT Practitioner - Mental Health Counselor 0143688606 Practice locations: Bethel, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000647CTMDCounselor
647CTMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861436784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD",
            "address_2": "STE 366",
            "city": "DAUBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "203-791-3828",
            "fax_number": "203-791-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD",
            "address_2": "STE 366",
            "city": "DAUBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "203-791-3828",
            "fax_number": "203-791-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "000647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2134362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP HEALTH INC",
            "identifier": "PHILELAN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "240000647CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5887739",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "PIN309006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "IP556121",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daubury, CT

Sources for this page

Verify at the official NPI Registry.