MR. ROBERT J. DEAN PHILLIPS M.S.,L.C.P.C.,N.C.C.
NPI 1093708208
Counselor - Mental Health in Effingham, IL

Q: What is Robert Phillips's NPI number?

The NPI number for Robert Phillips is 1093708208. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Robert 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 Robert Phillips was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 24, 2005PECOS Enrolled

1200 N 4TH ST, EFFINGHAM, IL 62401(217) 347-7179 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Robert J. Dean Phillips M.s.,l.c.p.c.,n.c.c. NPPES

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

MR. ROBERT J. DEAN PHILLIPS M.S.,L.C.P.C.,N.C.C. (NPI 1093708208) is an individual mental health provider in Effingham, Illinois, licensed in Indiana (39002212A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1093708208

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. ROBERT J. DEAN PHILLIPSCredential: M.S.,L.C.P.C.,N.C.C.

Location Address1200 N 4TH STEffingham, IL 62401-3032

Mailing Address1200 N 4th StEffingham, IL 62401-3032 · (217) 347-7179

Phone(217) 347-7179

Sole ProprietorYes

Enumeration DateAugust 24, 2005

Last NPPES UpdateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1093708208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IN · 39002212A

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180005312 (IL)

1200 N 4TH ST, Effingham, IL 62401

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Secondary Practice Location 1

Location 12701 Northview AveIndianapolis, IN 46220-3519 · Phone (812) 483-7621

Other Identifiers 4

Other39002212AIN · Indiana Professional Licensing

Other202794National Certification

Medicaid370912882IL

Other180-005312IL · Lcpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert J. Dean Phillips M.s.,l.c.p.c.,n.c.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

KEVIN BUSHUR MS/LCPC

Counselor