PHILLIP JEREMY DEW MA, LPC, EMMHS, CMHS
NPI 1407127392
Counselor - Mental Health in Bryan, TX
About Phillip Jeremy Dew Ma, Lpc, Emmhs, Cmhs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP JEREMY DEW MA, LPC, EMMHS, CMHS (NPI 1407127392) is an individual mental health provider in Bryan, Texas, licensed in Texas (71786) and active in the NPI registry since January 2012. He has opted out of Medicare through March 5, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Phillip Jeremy Dew Ma, Lpc, Emmhs, Cmhs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2025 through March 5, 2027.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Phillip Dew's NPI number?
The NPI number for Phillip Dew is 1407127392. It was assigned to this individual provider in the NPPES registry on January 24, 2012.
Where is Phillip Dew located?
Phillip Dew practices at 2554 E Villa Maria Rd, Bryan, TX 77802. The listed phone number is (206) 669-8124.
What is Phillip Dew's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Phillip Dew enrolled in Medicare?
No. Phillip Dew has opted out of Medicare through March 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Phillip Dew was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Phillip Jeremy Dew, MA, LPC, EMMHS, CMHS · NPI 1407127392
Mental Health provider in Bryan, Texas. Individual provider, active in the CMS NPPES registry since January 24, 2012.
## Identity
- **NPI:** 1407127392 (Entity type: Individual)
- **Enumerated:** January 24, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 71786 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2554 E VILLA MARIA RD, Bryan, TX 77802-2037
- **Phone:** (206) 669-8124 · **Fax:** (979) 774-0316
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 5, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 5, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1407127392) · Data from the CMS NPPES public registry.