Active NPI 1639987357 Individual Practitioner Male Practitioner

Larry Shawn Phillips

Peer Specialist • Jamestown, KY

Professional Overview & Biography Verified Profile Summary

Larry Phillips is a registered healthcare professional specializing in Peer Specialist in Jamestown, KY. Practice services are available at 119 HEREFORD CURVE ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

119 Hereford Curve Road

Jamestown, KY 42629

Telephone 2703434108

Associated Practice Facility / Clinic

🏢 Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Facility NPI 1336172642

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Jamestown, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Jamestown, KY (1987 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-20

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Tami Branham , RN

Counselor - Mental Health

NPI 1023660776

Registered Nurse

Jennifer Cooksey

Licensed Practical Nurse

NPI 1174208425

Rachel York

Licensed Practical Nurse

NPI 1194608406

Tiffany Brassfield

Registered Nurse

NPI 1245006097

Twanna Abbott

Peer Specialist

NPI 1265206627

Amy Grider

Peer Specialist

NPI 1306521638

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 27, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location December 27, 2024

Registered at 119 HEREFORD CURVE ROAD, JAMESTOWN, KY 42629 (Tel: 2703434108)

📍

Updated Business Mailing Address December 27, 2024

Registered at 130 SOUTHERN SCHOOL RD, SOMERSET, KY 425013223 (Tel: 6066794782)

👤

Provider Name / Credentials Updated December 27, 2024

Recorded as LARRY PHILLIPS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2024

Peer Specialist

🟢

Initial NPI Registration & Enumeration December 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639987357

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 27, 2024

Last Update: December 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

130 Southern School Rd

Somerset, KY 425013223

Phone: 6066794782

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.