ADRYANE PHILLIPS LPC
NPI 1972828176
Counselor - Professional in Atlanta, GA

Active since March 30, 2010PECOS Enrolled
1919 JOHN WESLEY AVE, ATLANTA, GA 30337(404) 762-9190(404) 762-9101 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Adryane Phillips Lpc NPPES

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

ADRYANE PHILLIPS LPC (NPI 1972828176) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (004970) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1972828176
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameADRYANE PHILLIPSCredential: LPC
Location Address1919 JOHN WESLEY AVEAtlanta, GA 30337-3605
Mailing Address1087 Redan Trail CtStone Mountain, GA 30088-2542 · (770) 378-8106 · Fax (404) 745-8485
Fax(404) 762-9101
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 30, 2010
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
NPI 1972828176 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 GA · 004970
1919 JOHN WESLEY AVE, Atlanta, GA 30337

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Adryane Phillips Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355830563
PECOS Enrollment IDI20251028004929
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 19

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

Counselor (Mental Health)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Counselor (Professional)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Registered Nurse
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Counselor (Professional)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Counselor (Professional)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Counselor (Professional)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Social Worker (Clinical)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Counselor (Mental Health)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972828176, enumerated as an "individual" on March 30, 2010.

The provider is located at 1919 JOHN WESLEY AVE ATLANTA, GA 30337 and the phone number is (404) 762-9190.

Counselor with taxonomy code 101YP2500X and a focus in Professional.