Active NPI
Rebecca Phillips, MA
- Mental Health Counselor
- Fort Pierce, FL
National Provider Identifier
1871841197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH10238
- Practice address
- 2806 S US Highway 1 Ste C7
Fort Pierce, FL 34982-8109 - Phone
- (772) 380-2247
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH10238 | FL | Primary |
Addresses
Primary practice location
2806 S US Highway 1 Ste C7
Fort Pierce, FL 34982-8109
Mailing address
4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (772) 380-2247
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH10238 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1871841197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 W MIDWAY RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349814823",
"telephone_number": "772-380-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 S US HIGHWAY 1 STE C7",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349828109",
"telephone_number": "772-380-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "REBECCA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH10238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.