JUDITH JOAN PHIPPS MS NPI 1366678161

NPI Information

NPI: 1366678161
Provider Name: JUDITH JOAN PHIPPS, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
RR1 BOX 277
LAWRENCEVILLE, IL
ZIP 62439
Phone: (618) 943-3754
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Judith Joan Phipps, MS is a mental health counselor in Lawrenceville, IL. Judith Joan Phipps, MS NPI is 1366678161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

RR1 BOX 277
LAWRENCEVILLE, IL
ZIP 62439
Phone: (618) 943-3754
Fax: (618) 943-3754

The enumeration date for this NPI number is 6/8/2009 and was last updated on 6/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	036-105698	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	37600178008	MEDICAID	ILLINOIS
2	207184	MEDICARE PIN	ILLINOIS
3	207184	MEDICARE OSCAR/CERTIFICATION	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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