Active NPI
Phillip Charles West, ADDICTION COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Detroit, MI
National Provider Identifier
1932373677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10082
- Practice address
- 1800 W Bethune St Apt 104
Detroit, MI 48206-2674 - Phone
- (313) 778-2696
- NPI assigned
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10082 | MI | Primary |
Addresses
Primary practice location
1800 W Bethune St Apt 104
Detroit, MI 48206-2674
Mailing address
1800 Bethune
Apt.104
Detroit, MI 48206
Phone (313) 778-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141928000 | Medicaid | MI |
Other names 1
- Phillip West
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10082 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1932373677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BETHUNE",
"address_2": "APT.104",
"city": "DETROIT",
"state": "MI",
"postal_code": "48206",
"telephone_number": "313-778-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W BETHUNE ST APT 104",
"city": "DETROIT",
"state": "MI",
"postal_code": "482062674",
"telephone_number": "313-778-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "PHILLIP",
"middle_name": "CHARLES",
"credential": "ADDICTION COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "10082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141928000",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PHILLIP",
"last_name": "WEST",
"credential": "CERTIFIED",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.