LARRY S. PHILLIPS – NPI #1639987357
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

LARRY PHILLIPS is a peer specialist located in JAMESTOWN, KY. NPPES has assigned the NPI number 1639987357 to LARRY PHILLIPS on December 27, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for LARRY PHILLIPS below.

NPI Profile for
LARRY S. PHILLIPS

NPI Number
1639987357
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY S. PHILLIPS
Primary location
119 HEREFORD CURVE ROAD
JAMESTOWN, KY 42629
Phone: (270) 343-4108 Fax:
Mailing address
130 SOUTHERN SCHOOL RD
SOMERSET, KY 42501-3223
Phone: (606) 679-4782 Fax: (606) 678-5296
Sole Proprietor
No
Updated
Certification Date
Dec 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.