Gregory Neill Phillips, LCSWA, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P016042 Issued in NC

Practice address

1014 Hay St
Fayetteville, NC 28305-5316

Phone

(910) 500-3046

Fax

(910) 900-3100

NPI assigned

Jul 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1942721485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 HALLWOOD DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482864",
            "telephone_number": "910-689-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055316",
            "telephone_number": "910-500-3046",
            "fax_number": "910-900-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GREGORY",
        "middle_name": "NEILL",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23146",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "PO12034",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P016042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kierra Phillips, LCAS-A
• Charlene Phillips
• Cynthia C Phillips, PA-C
• David Lee Phillips, RD
• Evan Joseph Phillips, PA-C
• Iris Braswell Phillips, AUD
• John Lloyd Phillips, D.D.S.
• Kayla Trinity Phillips
• Megan Phillips, LCSWA
• Savanna R Phillips

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.