Active NPI
Albert Phillips, LGSW
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1962815472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- G11381
- Practice address
- 4604 Sunbrook Ave
Baltimore, MD 21206-3326 - Phone
- (443) 415-5384
- NPI assigned
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | G11381 | MD | Primary |
Addresses
Primary practice location
4604 Sunbrook Ave
Baltimore, MD 21206-3326
Mailing address
4604 Sunbrook Ave
Baltimore, MD 21206-3326
Phone (443) 415-5384
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 |
|---|---|---|---|
| G11381 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1962815472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 SUNBROOK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212063326",
"telephone_number": "443-415-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604 SUNBROOK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212063326",
"telephone_number": "443-415-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ALBERT",
"name_prefix": "Mr.",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "G11381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.