SHERITTA R PHILLIPS MS, LPCC
NPI 1053005843
Counselor - Mental Health in Stillwater, MN

Q: What is Sheritta Phillips's NPI number?

The NPI number for Sheritta Phillips is 1053005843. It was assigned to this individual provider in the NPPES registry on June 6, 2023. The provider is also known as Sheritta Gales.

Q: What is Sheritta Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Sheritta Phillips was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2023PECOS Enrolled

1875 NORTHWESTERN AVE S, STILLWATER, MN 55082(651) 789-4039(651) 439-4894 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sheritta R Phillips Ms, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERITTA R PHILLIPS MS, LPCC (NPI 1053005843) is an individual mental health provider in Stillwater, Minnesota, licensed in Minnesota (CC03803) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053005843

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHERITTA R PHILLIPSCredential: MS, LPCC

Location Address1875 NORTHWESTERN AVE SStillwater, MN 55082-7534

Mailing Address1875 Northwestern Ave SStillwater, MN 55082-7534 · (651) 789-4039 · Fax (651) 439-4894

Phone(651) 789-4039

Fax(651) 439-4894

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 6, 2023

NPPES CertifiedJune 6, 2023

✔ NPI 1053005843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · CC03803

1875 NORTHWESTERN AVE S, Stillwater, MN 55082

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Other Names 1

Former Name (1)Sheritta Gales

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheritta R Phillips Ms, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840766341

PECOS Enrollment IDI20260421002300

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE M CRAGOE LMFT

Marriage & Family Therapist