Amanda Marie Phillips, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-17627 Issued in AZ

Practice address

4220 N 20TH Ave
Phoenix, AZ 85015-5124

Phone

(602) 889-9401

NPI assigned

Jan 5, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1891268561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042757",
            "telephone_number": "602-603-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N 20TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155124",
            "telephone_number": "602-889-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3306 W Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850093404",
            "country_code": "US",
            "telephone_number": "602-889-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042757",
            "country_code": "US",
            "telephone_number": "602-603-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-17627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Phillips Gray
• Phillips Mobile Labs LLC
• Alicia Marie Phillips, MD
• Allyson Phillips
• Amanda Phillips, RD
• Ashley Nicole Phillips, DPT
• Cathy Phillips, M.A., CCC-SLP
• David Buddy Phillips, DMD
• Flor Marlene Phillips, FNP
• Gerda Phillips, LCSW

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.