Adryane Phillips, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004970 Issued in GA

Practice address

1919 John Wesley Ave
Atlanta, GA 30337-3605

Phone

(404) 762-9190

Fax

(404) 762-9101

NPI assigned

Mar 30, 2010

Sex

Female

Sole proprietor

Yes

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.

• Odyssey Family Counseling Center Corporation

  • Mental Health Counselor
  • College Park, GA
  • NPI 1689604605

  GA, Professional

  Medicare reassignment NPD

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2024.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1972828176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 REDAN TRAIL CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882542",
            "telephone_number": "770-378-8106",
            "fax_number": "404-745-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 JOHN WESLEY AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303373605",
            "telephone_number": "404-762-9190",
            "fax_number": "404-762-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ADRYANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pass Philipsborn, MD
• Phillip Long Dang D.C.P.C.
• Kenja S Phillip
• Phillips & Phillips Dental Associates P.C.
• Trinity Ania Phillips Caesar
• Alyssa Marie Phillips, PA-C
• Alyssa Nicole Phillips
• Ashley Laura Phillips, RN
• Avril Melissa Phillips, MSW
• Brad Clinton Phillips, D.V.M.

• All providers in Atlanta, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.