LINDA ELAINE PHILLIPS MED LICENSED PROFESS
NPI 1629168067
Counselor - Professional in Russellville, AR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since October 14, 2006PECOS Enrolled

110 SKYLINE DRIVE, RUSSELLVILLE, AR 72801(479) 968-1298(479) 968-6053 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2025, Sep 4, 2024 (2 updates tracked since 2024).

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About Linda Elaine Phillips Med Licensed Profess NPPES

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

LINDA ELAINE PHILLIPS MED LICENSED PROFESS (NPI 1629168067) is an individual professional provider in Russellville, Arkansas, licensed in Arkansas (P8906008) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629168067

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLINDA ELAINE PHILLIPSCredential: MED LICENSED PROFESS

Location Address110 SKYLINE DRIVERussellville, AR 72801

Mailing Address350 Salem Road, Suite 1Conway, AR 72034 · (501) 336-8300 · Fax (501) 329-3572

Phone(479) 968-1298

Fax(479) 968-6053

Sole ProprietorNo

Enumeration DateOctober 14, 2006

Last NPPES UpdateJune 30, 20252 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1629168067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P8906008

110 SKYLINE DRIVE, Russellville, AR 72801

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Other Names 1

Former Name (1)Linda Elaine Freeman

Other Identifiers 1

Medicaid227040719AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Linda Elaine Phillips Med Licensed Profess 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA KAE FREEMAN RN

Registered Nurse (Psychiatric/Mental Health)