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JONATHAN DAVID PHILLIPS LGPC
NPI 1962096008
Counselor - Mental Health in Rosedale, MD

Active since March 01, 2021PECOS EnrolledAccepts Medicare Assignment
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jonathan David Phillips Lgpc NPPES

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

JONATHAN DAVID PHILLIPS LGPC (NPI 1962096008) is an individual mental health provider in Rosedale, Maryland, licensed in Maryland (LGP9974) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962096008
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN DAVID PHILLIPSCredential: LGPC
Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157
Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203
Phone(410) 780-5203
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1962096008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LGP9974
9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237
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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

Jonathan David Phillips Lgpc 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 ID6305287269
PECOS Enrollment IDI20240509003808
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 Reassignment

Medicare enrollment records show Jonathan Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Behavioral Health, LLC
Same address
Community/Behavioral Health
9627 PHILADELPHIA RD STE 160
Rosedale, MD 21237
  • Reassigned Medicare billing, Maryland enrollment
  • 122 clinicians in this Medicare group
NPI 1053733378 (410) 780-5203

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

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.

LONNETTE MCPHERSON
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (443) 469-5138
ADRIAN LEE STACKHOUSE
Social Worker (Clinical)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AMBER DUKES LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AYREL J FUNDERBURK
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
ABBIGALE ELIZABETH BOEHL
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
CAROLINE ELIZABETH MOLLENAUER
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
GRACE OMENYI LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
IESHA FELTON WATERS LCPC
Counselor (Professional)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203

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 Jonathan Phillips's NPI number?

The NPI number for Jonathan Phillips is 1962096008. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Jonathan Phillips located?

Jonathan Phillips practices at 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237. The listed phone number is (410) 780-5203.

What is Jonathan Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jonathan Phillips enrolled in Medicare?

Yes. Jonathan 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 organization bills Medicare for Jonathan Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Phillips reassigns Medicare benefits to Thrive Behavioral Health, LLC (Rosedale, MD). The 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 Jonathan 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 Jonathan Phillips was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.