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Jonathan David Phillips, LGPC

Counselor, Mental Health in Rosedale, MD. Individual provider (NPI-1).

NPI number1962096008
StatusActive
Last updated in NPPESMar 1, 2021

Details

NPI
1962096008
Entity type
Individual (NPI-1)
Name
Jonathan David Phillips
Credential
LGPC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 1, 2021
Certification date
Mar 1, 2021
Last updated
Mar 1, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLGP9974MDYes

Practice location

9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157

Phone 410-780-5203

Mailing address

9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157

Phone 410-780-5203

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Rosedale, MD

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