AMANDA JESSICA PHILLIPS ACD.0002692
NPI 1962334219
Counselor - Addiction (Substance Use Disorder) in Palmer Lake, CO
Active since June 01, 2026
About Amanda Jessica Phillips Acd.0002692 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA JESSICA PHILLIPS ACD.0002692 (NPI 1962334219) is an individual addiction (substance use disorder) provider in Palmer Lake, Colorado, licensed in Colorado (ACD.0002692) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1962334219
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA JESSICA PHILLIPSCredential: ACD.0002692
Location Address443 HIGHWAY 105Palmer Lake, CO 80133-9003
Mailing Address1383 Lakeland Grv Apt 306Monument, CO 80132-6255 · (719) 955-1800
Phone(719) 955-1800
Sole ProprietorYes
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1962334219 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002692
443 HIGHWAY 105, Palmer Lake, CO 80133
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
443 HIGHWAY 105
PALMER LAKE, CO 80133
PALMER LAKE, CO 80133
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962334219, enumerated as an "individual" on June 01, 2026.
The provider is located at 443 HIGHWAY 105 PALMER LAKE, CO 80133 and the phone number is (719) 955-1800.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
