REBECCA AUTUMN PHILLIPS (NPI# 1609408103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609408103 |
| Entity Type | Individual |
| Full Name | REBECCA AUTUMN PHILLIPS |
| Credential | MS, LAC |
| Practice Address |
703 N Thompson St Springdale AR 72764-3205 |
| Practice Telephone | 8704033312 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A2002025 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523681 | Rebecca Phillips | Social Worker | 955 Massachusetts Ave # 138, Cambridge, MA 02139-3233 | 2020-03-12 |
| 1467922294 | Rebecca Lynn Phillips | Massage Therapist | 2590 Woodland Dr, Coos Bay, OR 97420-2050 | 2018-12-05 |
| 1306286802 | Rebecca Phillips | Behavioral Analyst | 815 Nw 62nd St, 101, Seattle, WA 98107-2840 | 2013-06-28 |
| 1871841197 | Rebecca Phillips | Counselor | 2806 S Us Highway 1 Ste C7, Fort Pierce, FL 34982-8109 | 2012-08-16 |
| 1912293242 | Rebecca Phillips | Nurse Practitioner | 2755 Yates St, Denver, CO 80212-1544 | 2011-06-24 |
| 1245350735 | Rebecca Lynn Phillips | Speech-Language Pathologist | 3414 Hastings Cir, Louisville, KY 40241-2524 | 2007-03-30 |
| 1295835486 | Rebecca Lynn Phillips | Occupational Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2006-09-25 |
| 1790751329 | Rebecca Plumlee Phillips | Family Medicine | 308 Highway 62 W, Ash Flat, AR 72513-9415 | 2006-02-24 |
| 1225019441 | Rebecca Ann Phillips | Marriage & Family Therapist | 5009 Parkland Ave, Dallas, TX 75235-8214 | 2005-11-07 |
| 1770103376 | Rebecca Phillips | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-04-23 |
| Street Address |
703 N THOMPSON ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525007 | Sarah Marie Phillips | Counselor | 1672 S 48th St Ste B, Springdale, AR 72762-5880 | 2018-07-25 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| 1285015677 | Sean Mcdonald | Counselor | 2002 S 48th St Ste F, Springdale, AR 72762-5799 | 2015-06-11 |
| 1003113614 | Norman Anthony Thompson | Counselor | 9619 Utica Pl, Springdale, MD 20774-5449 | 2011-02-16 |
| 1699716456 | Kandra J Napier | Counselor | 2466 S 48th Street, Springdale, AR 72762 | 2006-06-10 |
| 1710925441 | Elaine Carol Willard-tayrien | Counselor | 2514 S. 48th Street, Springdale, AR 72762 | 2006-06-03 |
| 1770520041 | Sandra Lee Maaske | Counselor | 4912 Springhouse Dr, Springdale, AR 72762-7261 | 2006-06-02 |
| 1710528971 | Jacob Scott Messmer | Counselor | 1325 E Kemper Rd, Springdale, OH 45246-3921 | 2019-09-30 |
| 1962965111 | Cindy Palen | Counselor | 6815 Isaacs Orchard Rd Ste B1, Springdale, AR 72762-6902 | 2019-04-12 |
| 1033682554 | Brittni Huckabay | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2019-01-08 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on REBECCA AUTUMN 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.