Individual provider Active NPI

Janiya T Phillips, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1922588391
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007825 Issued in VA
Practice address
283 Constitution Dr Ste 600
Virginia Beach, VA 23462-6760
Phone
(757) 436-0605
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 0701007825 VA Primary

Addresses

Primary practice location

283 Constitution Dr Ste 600
Virginia Beach, VA 23462-6760

Mailing address

283 Constitution Dr Ste 600
Virginia Beach, VA 23462-6760
Phone (757) 802-4619

Other identifiers 2

IdentifierTypeStateIssuer
601313152MedicaidVA
0701007825OtherVALICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125004753 VA Practitioner - Mental Health Counselor 9931552965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

283 Constitution Dr
Suite 600
Virginia Beach, VA 23462-6760
Phone (757) 802-4619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Janiya T Phillips LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Ronald W. Atwood, M.D., P.C. Past Accepting new patients
Coastal Counseling Center Inc PastSince Jun 1, 2004 Accepting new patients

Locations

283 Constitution Dr
Ste 600
Virginia Beach, VA 23462
Phone (757) 693-9981

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1922588391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 CONSTITUTION DR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760",
            "telephone_number": "757-802-4619",
            "fax_number": "757-319-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 CONSTITUTION DR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760",
            "telephone_number": "757-436-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JANIYA",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601313152",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "0701007825",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.