Dustin B Phillips, M.S., LCADC, CAIMHP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

290480 Issued in KY

Practice address

26 Scarlet Dr
Corbin, KY 40701-8070

Phone

(606) 595-3218

Fax

(606) 215-8372

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phillips Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • London, KY
  • NPI 1134019243
  Medicare reassignment NPD Authorized official
• Manchester Miracles Recovery Center, LLC

  dba Bluegrass Treatment Center

  • Multi-Specialty Clinic/Center
  • London, KY
  • NPI 1801693411

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Still Waters Counseling & Recovery Resources LLC

  • Substance Abuse Rehabilitation Facility
  • Lexington, KY
  • NPI 1043077027

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1922747831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SCARLET DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018070",
            "telephone_number": "606-595-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SCARLET DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018070",
            "telephone_number": "606-595-3218",
            "fax_number": "606-215-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1249 S Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407412004",
            "country_code": "US",
            "telephone_number": "606-595-3218",
            "fax_number": "606-215-8372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DUSTIN",
        "middle_name": "B",
        "credential": "M.S., LCADC, CAIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "290480",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "290480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100917530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Petrey, PHARMD
• Robin M Petrey
• Selena Petrey
• Donna Peyton, BS, MHA
• Leslie Gayle Phelps, ANCC
• Kristi Eileen Phillips, BS
• Brittany Nicole Philpot, BS
• Phebia Lynn Philpot, APRN
• Shannon Philpot, TCM
• Sarah Elizabeth Faye Phipps

• Addiction (Substance Use Disorder) Counselor in Corbin, KY
• Providers in Corbin, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.