KATHLEEN PHILLIPS (NPI# 1124510342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124510342 |
| Entity Type | Individual |
| Full Name | KATHLEEN PHILLIPS |
| Practice Address |
9981 Spring Valley Rd Unit B Potter Valley CA 95469-9713 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7077431015 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 E Mendocino Ave, Willits, CA 954903508 | 7074596222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861927527 | Kathleen Phillips | Ophthalmology | 424 Ne 7th Ave, Ft Lauderdale, FL 33301-1208 | 2017-05-01 |
| 1780087916 | Kathleen Phillips | Speech-Language Pathologist | 711 Fess Street, Zanesville, OH 43701 | 2014-10-02 |
| 1205252921 | Kathleen Phillips | Massage Therapist | 5850 County Rd., Tipp City, OH 45371 | 2014-03-06 |
| 1467733667 | Kathleen Elaine Phillips | Speech-Language Pathologist | 1218 Sw 14th Ct, Gresham, OR 97080-9620 | 2011-08-31 |
| 1174704431 | Kathleen Phillips | Speech-Language Pathologist | 3126 E Valley Water Mill Rd, Apt 4804, Springfield, MO 65803-4908 | 2007-11-15 |
| 1114494184 | Kathleen Phillips | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2018-10-29 |
| 1639681901 | Kathleen Elizabeth Phillips | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2017-10-26 |
| 1871033662 | Kathleen Phillips | Marriage & Family Therapist | 5 Lane Ln, Sheridan, WY 82801-8630 | 2017-02-28 |
| 1689095846 | Kathleen Phillips | Specialist | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2013-12-13 |
| 1497099667 | Kathleen Phillips | Nurse Practitioner | 17717 Masonic, Fraser, MI 48026-3158 | 2012-11-12 |
| Street Address |
9981 SPRING VALLEY RD UNIT B |
| City | POTTER VALLEY |
| State | CA |
| Zip Code | 95469-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706965 | Steven Stewart | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2016-08-26 |
| 1316595317 | William Crossman IIi | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288448 | Richard Gardiner | Psychiatry & Neurology | 11781 East Rd, Potter Valley, CA 95469 | 2005-07-07 |
| 1194226233 | Laura Alvarado | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469 | 2018-02-23 |
| 1851834063 | Dawn Mccarty | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469 | 2016-11-21 |
| 1629038971 | James Pretorius | Family Medicine | 8201 West Rd, Potter Valley, CA 95469-8700 | 2006-03-23 |
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1427423573 | Barbara Killingham | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2015-12-01 |
| 1790811073 | Brandan Chace Moroni | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2007-02-23 |
| 1457958951 | Patrick Garrett | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-07 |
| 1588261101 | Hailey Huey | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1477150092 | Nathan Reitan | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| Find all providers in zip 95469 | ||||
| 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 |
|---|---|---|---|---|
| 1447706965 | Steven Stewart | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2016-08-26 |
| 1427423573 | Barbara Killingham | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2015-12-01 |
| 1790811073 | Brandan Chace Moroni | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2007-02-23 |
| 1457958951 | Patrick Garrett | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-07 |
| 1588261101 | Hailey Huey | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1477150092 | Nathan Reitan | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1003423427 | Rebeca Diaz | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-09-29 |
| 1043845167 | William Backus | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-03-09 |
| 1457991929 | Damian Pickron | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-01-13 |
| 1790320786 | Howard Eady | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-11-13 |
| Find all providers in POTTER VALLEY | ||||
| City | POTTER VALLEY |
| Zip Code | 95469 |
Please comment or provide details below to improve the information on KATHLEEN 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.