Active NPI
Phillippe Louis, MS, NCC, APC, CAMS-2
- Mental Health Counselor
- College Park, GA
National Provider Identifier
1922465707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC004975
- Practice address
- 1515 Garden Wood Dr
College Park, GA 30349-6285 - Phone
- (786) 547-0519
- NPI assigned
- Jan 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | APC004975 | GA | Primary |
Addresses
Primary practice location
1515 Garden Wood Dr
College Park, GA 30349-6285
Mailing address
1515 Garden Wood Dr
College Park, GA 30349-6285
Phone (786) 547-0519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APC004975 | Medicaid | GA |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC004975 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1922465707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 GARDEN WOOD DR",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303496285",
"telephone_number": "786-547-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 GARDEN WOOD DR",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303496285",
"telephone_number": "786-547-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIS",
"first_name": "PHILLIPPE",
"name_prefix": "Mr.",
"credential": "MS, NCC, APC, CAMS-2",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC004975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APC004975",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.