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P K PHILLIPS LMFT, MA, MS
NPI 1285037424
Marriage & Family Therapist in San Diego, CA

Active since October 02, 2014PECOS EnrolledAccepts Medicare Assignment
4231 BALBOA AVE # 1004, SAN DIEGO, CA 92117(808) 280-7268 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2024, Dec 7, 2023, Jun 7, 2023 (3 updates tracked since 2023).

About P K Phillips Lmft, Ma, Ms NPPES

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

P K PHILLIPS LMFT, MA, MS (NPI 1285037424) is an individual marriage & family therapist in San Diego, California, licensed in California (147470) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1285037424
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameP K PHILLIPSCredential: LMFT, MA, MS
Location Address4231 BALBOA AVE # 1004San Diego, CA 92117-5504
Mailing Address4231 Balboa Ave # 1004San Diego, CA 92117-5504 · (808) 280-7268
Phone(808) 280-7268
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 2, 2014
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1285037424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 147470
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4231 BALBOA AVE # 1004, San Diego, CA 92117
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Secondary Practice Location 1

Location 11770 N Green Valley Pkwy Apt 2621Henderson, NV 89074-5835 · Phone (808) 280-7268

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

P K Phillips Lmft, Ma, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981125135
PECOS Enrollment IDI20250624001975
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 Reassignments

2

Medicare enrollment records show P K Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
416 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Mental Health Specialty Group PA
2,185 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Nevada enrollment
  • 77 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

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 P K Phillips's NPI number?

The NPI number for P K Phillips is 1285037424. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is P K Phillips located?

P K Phillips practices at 4231 Balboa Ave # 1004, San Diego, CA 92117. The listed phone number is (808) 280-7268.

What is P K Phillips's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is P K Phillips enrolled in Medicare?

Yes. P K Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for P K Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), P K Phillips reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Mental Health Specialty Group PA (Durham, NC). Each 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 P K Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for P K Phillips was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.