Andrea Phillips, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7975 Issued in NE

Practice address

9110 Foxtail Dr
Lincoln, NE 68526-9521

Phone

(402) 730-7841

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Innovative Solutions, LLC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1619068483
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861590341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 S 97TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269758",
            "telephone_number": "402-730-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 FOXTAIL DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269521",
            "telephone_number": "402-730-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025423500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Phelps, PA-C
• Meredith Phelps
• Patrick Phelps
• Rebecca Ruth Phelps, M.S. CCC-SLP
• Beverly J Philippi, APRN, BC
• Audrey Phillips
• Courtney Phillips
• Destanie Jade Phillips
• Edna Phillips
• Jerad Phillips

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.