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CHARLES PHILLIPS
NPI 1235026394
Peer Specialist in Grass Valley, CA

Active since June 21, 2025
159 BRENTWOOD DR, GRASS VALLEY, CA 95945(530) 263-2914 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Phillips NPPES

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

CHARLES PHILLIPS (NPI 1235026394) is an individual peer specialist in Grass Valley, California, licensed in California (MPSS-OTLYJA) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1235026394
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCHARLES PHILLIPS
Location Address159 BRENTWOOD DRGrass Valley, CA 95945-5703
Mailing Address159 Brentwood DrGrass Valley, CA 95945-5703 · (530) 263-2914
Phone(530) 263-2914
Sole ProprietorNo
Enumeration DateJune 21, 2025
NPPES CertifiedJune 21, 2025
✔ NPI 1235026394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-OTLYJA
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
159 BRENTWOOD DR, Grass Valley, CA 95945
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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.

KENNETH WISEMAN
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 460-4083
SAVANNAH M WALKER
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140
SAMANTHA E SMITH RADT
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140
SOFIA M DEGRUCCIO
Technician
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 273-1140
ANDREA FIGUEROA RADT
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 273-9541
PHILLIP KRULISKY RADT
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 878-5166
AMY JOHNSON
Counselor
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140
JESSICA ESCOBEDO
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Nevada County (530) 271-1140

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 Charles Phillips's NPI number?

The NPI number for Charles Phillips is 1235026394. It was assigned to this individual provider in the NPPES registry on June 21, 2025.

Where is Charles Phillips located?

Charles Phillips practices at 159 Brentwood Dr, Grass Valley, CA 95945. The listed phone number is (530) 263-2914.

What is Charles Phillips's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Charles Phillips was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.