KENT PHILLIPS (NPI# 1356832224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356832224 |
Entity Type | Individual |
Full Name | KENT PHILLIPS |
Credential | THERAPIST |
Practice Address |
4862 E Baseline Rd Ste 108 Mesa AZ 85206-4668 |
Practice Telephone | 4809812405 |
Practice Fax Number | 4803066236 |
Mailing Telephone | 4809812405 |
Mailing Fax Number | 4803066236 |
Enumeration Date | 2018-05-25 |
Last Update Date | 2018-05-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073068102 | Kent Ewing Phillips Jr. | Nurse Anesthetist, Certified Registered | 1055 Clermont St, Denver, CO 80220-3808 | 2016-08-18 |
1275661183 | Kent L Phillips | Dentist | 5220 Neil Rd, Reno, NV 89502-6505 | 2007-03-01 |
Street Address |
4862 E BASELINE RD STE 108 |
City | MESA |
State | AZ |
Zip Code | 85206-4668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790908515 | John Christian Jones | Physical Medicine & Rehabilitation | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2007-04-10 |
1730558180 | Precision Spine and Sports Rehabilitation, LLC | Physical Medicine & Rehabilitation | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2015-09-16 |
1407278781 | Stephanie Lynn Graham | Naturopath | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2014-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
Find all providers in zip 85206 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932725504 | Cheryl Hawley | Counselor | 2727 S Sawyer Cir, Mesa, AZ 85209-6257 | 2020-06-19 |
1578192357 | Katherine Desio-scott | Counselor | 9860 E Escondido Ave, Mesa, AZ 85208-3129 | 2020-04-03 |
1821639642 | Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC | Counselor | 2735 E Main St Ste 3, Mesa, AZ 85213-9269 | 2019-10-02 |
1881253961 | Amy Massey | Counselor | 522 W Edgewood Ave, Mesa, AZ 85210-3509 | 2019-06-11 |
1538630009 | Community Medical Services Arizona-private, LLC | Counselor | 2940 E Main St, Mesa, AZ 85213-9305 | 2018-12-10 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1780137729 | Maxine Mandell | Counselor | 3130 E Caballero St, Mesa, AZ 85213-7902 | 2016-07-26 |
1457726036 | Laura Fontaine | Counselor | 2345 S Alma School Rd Ste 105, Mesa, AZ 85210-4013 | 2015-12-07 |
1144625765 | Elevate Arizona | Counselor | 3208 N Ladera Cir, Mesa, AZ 85207-0810 | 2014-10-24 |
1013311356 | Chad H Close | Counselor | 650 W. Southern Ave., Mesa, AZ 85210 | 2014-10-15 |
Find all providers in MESA |
Please comment or provide details below to improve the information on KENT PHILLIPS.
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.