Individual provider Active NPI

Ann K. Phillips, LCSW

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1972029874
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12090 S Harrells Ferry Rd Ste M
Baton Rouge, LA 70816-2470
Phone
(225) 305-3540
Fax
(225) 262-5822
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LA Primary

Addresses

Primary practice location

12090 S Harrells Ferry Rd Ste M
Baton Rouge, LA 70816-2470

Mailing address

15525 Pinewood Dr
Pride, LA 70770-9637
Phone (225) 305-3540

Other practice location 1

12090 S Harrells Ferry Rd Ste M
Baton Rouge, LA 70816-2470
Phone (225) 305-3540

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling, Consultation and Assessment Resources, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972029874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 PINEWOOD DR",
            "city": "PRIDE",
            "state": "LA",
            "postal_code": "707709637",
            "telephone_number": "225-305-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12090 S HARRELLS FERRY RD STE M",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162470",
            "telephone_number": "225-305-3540",
            "fax_number": "225-262-5822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12090 S Harrells Ferry Rd Ste M",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708162470",
            "country_code": "US",
            "telephone_number": "225-305-3540",
            "fax_number": "225-262-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANN",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.