PHILLIP MICHAEL BASS MDIV, THM, LCMHC
NPI 1912316084
Counselor - Professional in Chapel Hill, NC
About Phillip Michael Bass Mdiv, Thm, Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP MICHAEL BASS MDIV, THM, LCMHC (NPI 1912316084) is an individual professional provider in Chapel Hill, North Carolina, licensed in North Carolina (A10502) and active in the NPI registry since August 2014. He has opted out of Medicare through February 6, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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 Michael Bass Mdiv, Thm, Lcmhc 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 February 6, 2024 through February 6, 2028.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
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 Bass's NPI number?
The NPI number for Phillip Bass is 1912316084. It was assigned to this individual provider in the NPPES registry on August 4, 2014. The provider is also known as Phillip Michael Shoe Mdiv, Thm, Lpc, Ncc.
Where is Phillip Bass located?
Phillip Bass practices at 1777 Fordham Blvd Ste 204, Chapel Hill, NC 27514. The listed phone number is (919) 283-3137.
What is Phillip Bass's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Phillip Bass enrolled in Medicare?
No. Phillip Bass has opted out of Medicare through February 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Phillip Bass accept?
Health plans from Blue Cross and Blue Shield of NC list Phillip Bass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Phillip Bass was last updated on March 26, 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.
# Phillip Michael Bass, MDIV, THM, LCMHC · NPI 1912316084
Professional provider in Chapel Hill, North Carolina. Individual provider, active in the CMS NPPES registry since August 4, 2014.
## Identity
- **NPI:** 1912316084 (Entity type: Individual)
- **Enumerated:** August 4, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** A10502 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1777 FORDHAM BLVD STE 204, Chapel Hill, NC 27514-5885
- **Phone:** (919) 283-3137
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 6, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912316084) · Data from the CMS NPPES public registry.