JASMINE R PHILLIPS CDCA OCPSA QMHS NPI 1396421020

NPI Information

  • NPI: 1396421020
  • Provider Name: JASMINE R PHILLIPS, CDCA, OCPSA, QMHS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 8255 SOUTH AVE
    BOARDMAN, OH
    ZIP 44512
  • Phone: (330) 318-3830

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NPI Details

Jasmine R Phillips, CDCA, OCPSA, QMHS is an addiction (substance use disorder) counselor in Boardman, OH. Jasmine R Phillips, CDCA, OCPSA, QMHS NPI is 1396421020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8255 SOUTH AVE
BOARDMAN, OH
ZIP 44512-483
Phone: (330) 318-3830

The enumeration date for this NPI number is 6/27/2023 and was last updated on 1/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorOHIONo
2172V00000XCommunity Health WorkerOHIONo
3405300000XPrevention ProfessionalOCPSA.162245OHIONo
4101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.189368OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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