Active NPI
Jeremy Phillips, MS
- Professional Counselor
- Natrona Heights, PA
National Provider Identifier
1982956298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006789
- Practice address
- 2318 Freeport Rd
Natrona Heights, PA 15065-1651 - Phone
- (724) 757-6119
- Fax
- (724) 409-6060
- NPI assigned
- Oct 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Professional Counselor | 101YP2500X | PC006789 | PA | Primary |
Addresses
Primary practice location
2318 Freeport Rd
Natrona Heights, PA 15065-1651
Mailing address
2502 High St
Natrona HTS, PA 15065-2426
Phone (724) 757-4454
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | contact@expressiveconnectionsllc.org |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006789 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressive Connections LLC | Professional | Current | Accepting new patients |
Locations
2318 Freeport Rd
Natrona Heights, PA 15065
Phone (724) 757-6119
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": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1982956298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 HIGH ST",
"city": "NATRONA HTS",
"state": "PA",
"postal_code": "150652426",
"telephone_number": "724-757-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 FREEPORT RD",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "150651651",
"telephone_number": "724-757-6119",
"fax_number": "724-409-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JEREMY",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-10",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006789",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "contact@expressiveconnectionsllc.org",
"affiliation": "N",
"address_1": "2318 Freeport Rd",
"city": "Natrona Heights",
"state": "PA",
"country_code": "US",
"postal_code": "150651651",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Natrona Heights, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.