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

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: November 01, 2026.

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
Open in Google Maps ↗

Other Names 1

Former Name (1)Sheritta Gales

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sheritta Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Familymeans
Same address
Mental Health
1875 NORTHWESTERN AVE S
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 24 clinicians in this Medicare group
NPI 1881690899 (651) 439-4840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
JONATHAN BOORMAN LMFT
Marriage & Family Therapist
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
JODY KAY DUNLAP LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
LEAH ELIZABETH SCRIBNER LMFT
Marriage & Family Therapist
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
ANNE CHRISTINE GETTLE LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
SARAH GLENDENNING SALDIN LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
MS. MARY ELIZABETH WILKENING LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
MR. BRIAN E BURNS LMFT
Marriage & Family Therapist
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Sheritta Phillips located?

Sheritta Phillips practices at 1875 Northwestern Ave S, Stillwater, MN 55082. The listed phone number is (651) 789-4039.

What is Sheritta Phillips's specialty?

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

Is Sheritta Phillips enrolled in Medicare?

Yes. Sheritta Phillips is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheritta Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheritta Phillips reassigns Medicare benefits to Familymeans (Stillwater, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheritta Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheritta Phillips accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Sheritta Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.