Tenisha Phillips, PH.D., LCPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.014888 Issued in IL

Practice address

960 W Cullerton St Apt 2C
Chicago, IL 60608-3480

Phone

(312) 450-1238

NPI assigned

Jan 15, 2018

Reactivated

Jan 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Phillipssims Wellness LTD

  • Group Psychotherapy Psychologist
  • Chicago, IL
  • NPI 1740038090

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1952819716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W CULLERTON ST APT 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083480",
            "telephone_number": "312-624-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W CULLERTON ST APT 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083480",
            "telephone_number": "312-450-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TENISHA",
        "name_prefix": "Ms.",
        "credential": "PH.D., LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "deactivation_date": "2022-12-17",
        "reactivation_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014888",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Phillips
• Scott Brent Phillips, MD
• Sophia Phillips
• Stacey Marie Phillips, MS CCC-SLP
• Susan M. Phillips, D.D.S.
• Valesia Marie Phillips, MD
• Willie Phillips, LCSW
• Phillipssims Wellness LTD
• David Christian Edwards Philpott, MD
• Renee Yu Philson, MD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; 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.