Individual provider Active NPI

Jillian Marie Phillips

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1881586121
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015105 Issued in VA
Practice address
4388 Holland Rd Ste 110
Virginia Beach, VA 23452-1389
Phone
(757) 810-7555
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701015105 VA Primary

Addresses

Primary practice location

4388 Holland Rd Ste 110
Virginia Beach, VA 23452-1389

Mailing address

961 Brick Kiln Blvd
Newport News, VA 23602-9407
Phone (757) 272-4720

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

LicenseStateTypeSpecialty
0701015105VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child Advocacy International CurrentSince Jul 28, 2025 Accepting new patients

Locations

4388 Holland Rd
Ste 110
Virginia Beach, VA 23452
Phone (757) 409-7613

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1881586121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 BRICK KILN BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029407",
            "telephone_number": "757-272-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 HOLLAND RD STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521389",
            "telephone_number": "757-810-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.