MARY JO PHILLIPS (NPI# 1356551519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356551519 |
| Entity Type | Individual |
| Full Name | MARY JO PHILLIPS |
| Credential | LPC |
| Practice Address |
507 22nd Ave E Alexandria MN 56308-5185 |
| Mailing Address |
507 22nd Ave E Suite 1 Alexandria MN 56308-5185 |
| Practice Telephone | 3207625124 |
| Practice Fax Number | 3207622422 |
| Mailing Telephone | 3207625124 |
| Mailing Fax Number | 3207622422 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 00134 | MN | Behavioral Health & Social Service Providers |
| Street Address |
507 22ND AVE E |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912344466 | Loren H Niehoff | Marriage & Family Therapist | 507 22nd Ave E, S 1, Alexandria, MN 56308-5185 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160471 | Sarah Chun | Counselor | 950 N Washington St # 322, Alexandria, VA 22314-1534 | 2020-09-24 |
| 1205462157 | D'angelo Taylor | Counselor | 100 S Reynolds St Apt 405, Alexandria, VA 22304-3173 | 2020-03-22 |
| 1437711728 | Omari Corbett | Counselor | 8247 Gregory Dr, Alexandria, VA 22309-1830 | 2019-07-08 |
| 1205495819 | James C Robinson | Counselor | 408 Harrisburg Hill Rd, Alexandria, KY 41001-7692 | 2019-06-07 |
| 1083126270 | Kristen Marie Wright | Counselor | 2800 Eisenhower Ave, Ste 220, Alexandria, VA 22314-4587 | 2017-10-29 |
| 1295254670 | Billy K Sekyi | Counselor | 4300 Buckman Road, Apt J, Alexandria, VA 22309-2333 | 2017-09-16 |
| 1699291971 | Derek Russell | Counselor | 2121 Eisenhower Ave Ste 604, Alexandria, VA 22314-4688 | 2017-08-17 |
| 1992225155 | Gillian Gmitter | Counselor | 8794 Sacramento Dr Ste S, Alexandria, VA 22309-1677 | 2017-06-20 |
| 1407206980 | Kirsten Madsen | Counselor | 6007 Mayfair Ln, Alexandria, VA 22310-1111 | 2016-06-15 |
| 1043667967 | Sabrina Brossett | Counselor | 1500 Lee St, Alexandria, LA 71301-6234 | 2016-05-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.