Individual provider Active NPI

Katherine Dolores Phillips, M.A.,LLC

  • Mental Health Counselor
  • Englewood, CO
National Provider Identifier
1992901201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC-8325 Issued in CO
Practice address
2929 S Acoma St
Englewood, CO 80110-1507
Phone
(303) 806-8806
NPI assigned
Jun 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NLC-8325 CO Primary

Addresses

Primary practice location

2929 S Acoma St
Englewood, CO 80110-1507

Mailing address

2929 S Acoma St
Englewood, CO 80110-1507
Phone (303) 806-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20240417000690 CO Practitioner - Mental Health Counselor 2264871763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Littleton Counseling Associates IncGroup PAC ID 5799049235, 2 clinicians

Practice addresses (Care Compare)

5951 Middlefield Rd
Suite 205
Littleton, CO 80123-7917
Phone (303) 564-9987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
NLC-8325COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Counseling Associates Inc CurrentSince Feb 27, 2024 Accepting new patients

Locations

5951 Middlefield Rd
Ste 205
Littleton, CO 80123
Phone (303) 564-9987

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992901201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S ACOMA ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801101507",
            "telephone_number": "303-806-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S ACOMA ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801101507",
            "telephone_number": "303-806-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KATHERINE",
        "middle_name": "DOLORES",
        "credential": "M.A.,LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC-8325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.