Amanda Jessica Phillips, ACD.0002692

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0002692 Issued in CO

Practice address

443 Highway 105
Palmer Lake, CO 80133-9003

Phone

(719) 955-1800

NPI assigned

Jun 1, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1962334219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 LAKELAND GRV APT 306",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326255",
            "telephone_number": "719-955-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HIGHWAY 105",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "801339003",
            "telephone_number": "719-955-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMANDA",
        "middle_name": "JESSICA",
        "credential": "ACD.0002692",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Monette, COTA
• Monumental Therapy Group PLLC
• Samantha Myers, LCSW
• Birgitte Darum Pegues, RNFA
• Donald Albert Peterson, DC
• Veronica Ann Phillips, SOCIAL WORKER
• Tina Piantidosi-Hall, LCSW
• Recovery Village at Palmer Lake, LLC
• Recovery Village at Palmer Lake, LLC
• Tania Lorell Rife, M.A., CCC/SLP

• Addiction (Substance Use Disorder) Counselor in Palmer Lake, CO
• Providers in Palmer Lake, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.