MR. JUSTIN JEROME PHILLIPS (NPI# 1891326559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891326559 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN JEROME PHILLIPS |
| Credential | MSW |
| Practice Address |
4021 Laclede Ave # 23211 Saint Louis MO 63108-3271 |
| Mailing Address |
Po Box 23211 Saint Louis MO 63156-3211 |
| Practice Telephone | 3137242669 |
| Mailing Telephone | 3137242669 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033630579 | Justin David Phillips | Counselor | 3396 Mount Olive Rd, Mount Olive, AL 35117-3710 | 2017-07-06 |
| 1598092462 | Justin Paul Phillips | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2009-11-12 |
| 1902056682 | Justin Wayne Phillips | Counselor | 4015 Allison Ln Apt 207, Springdale, AR 72762-0659 | 2008-09-30 |
| 1184812091 | Justin D. Phillips | Dentist | 2655 Cleveland Ave Ste B, Santa Rosa, CA 95403-2779 | 2007-10-05 |
| 1295821874 | Justin Ray Phillips | Chiropractor | 602 N. Broadway, Teucumseh, OK 74873 | 2006-10-04 |
| 1194120170 | Justin Phillips | Physical Therapy Assistant | 211 Ana Dr, Florence, AL 35630-1768 | 2014-11-03 |
| 1619258183 | Justin Phillips | Chiropractor | 7000 Lee Hwy, Suite 600, Chattanooga, TN 37421-1799 | 2011-08-29 |
| 1811287477 | Justin R. Phillips | Pharmacy Technician | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2011-04-15 |
| 1205150083 | Justin T. Phillips | Psychiatry & Neurology | 4950 Norton Healthcare Blvd, Suite 305, Louisville, KY 40241-2845 | 2010-03-23 |
| 1184853350 | Justin Phillips | Acupuncturist | 911 W 38th St, 200t, Austin, TX 78705-1188 | 2009-07-09 |
| Street Address |
4021 LACLEDE AVE # 23211 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1508422858 | Patient Advocacy and Education | Community/Behavioral Health | 7006 Woodbridge Creek Ct, Saint Louis, MO 63129-6419 | 2019-05-13 |
| 1154985711 | Chads Coalition for Mental Health | Community/Behavioral Health | 4121 Union Rd Ste 224, Saint Louis, MO 63129-1070 | 2019-04-29 |
| 1104382118 | Vine Life Counseling | Community/Behavioral Health | 2310 S Grand Blvd, Saint Louis, MO 63104-1702 | 2019-02-14 |
| 1831663848 | Latitude Therapy Solutions LLC | Community/Behavioral Health | 8130 Balson Ave, Saint Louis, MO 63130-3607 | 2019-01-14 |
| 1700376423 | Bell Therapeutic Services | Community/Behavioral Health | 4125 Humphrey St, Saint Louis, MO 63116-3824 | 2018-05-17 |
| 1568990505 | Tyree Edward Miller Behavioral Health Services | Community/Behavioral Health | 2829 Gainsboro Ct, Saint Louis, MO 63121-4717 | 2017-06-02 |
| 1316485832 | Reach Out Consulting LLC | Community/Behavioral Health | 5158 Suson Way Ct, Saint Louis, MO 63128-4531 | 2017-02-03 |
| 1073064523 | Hunts Haven Home Care LLC | Community/Behavioral Health | 2510 Ada Ave, Saint Louis, MO 63136-1307 | 2016-10-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on MR. JUSTIN JEROME 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.