Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205494770 Individual Practitioner Male Practitioner

Phillip Edward Maybery , CSAC

Counselor • Suffolk, VA

Professional Overview & Biography Verified Profile Summary

Phillip Maybery, CSAC is a registered healthcare professional specializing in Counselor in Suffolk, VA. Practice services are available at 1258 HOLLAND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1258 Holland Rd

Suffolk, VA 234346313

Telephone 7574392698
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Suffolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Suffolk, VA (1071 Statewide)

Telehealth Adoption Rate
12.5% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Mary Dillard

Registered Nurse

NPI 1023512696
Patricia Brown

Counselor - Addiction (Substance Use Disorder)

NPI 1073023933
Takima Simmons , LPC-R, CSAC-S

Counselor - Professional

NPI 1144079781

LPCR, CSACS

Antoinette Porter

Counselor - Addiction (Substance Use Disorder)

NPI 1154088110
Ebony Irvin , CCMA

Physician Assistant - Medical

NPI 1265312334
Ben Zorn

Counselor - Addiction (Substance Use Disorder)

NPI 1336969153

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2019

Registered at 1258 HOLLAND RD, SUFFOLK, VA 234346313 (Tel: 7574392698)

📍
Updated Business Mailing Address May 30, 2019

Registered at 55 BEATTIE PL STE 810, GREENVILLE, SC 296012191 (Tel: 8645273145)

👤
Provider Name / Credentials Updated May 30, 2019

Recorded as PHILLIP MAYBERY, CSAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2019

Counselor

🟢
Initial NPI Registration & Enumeration May 30, 2019

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: 1205494770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2019
Last Update: May 30, 2019
Sole Proprietor: Yes

Mailing Address

55 Beattie Pl Ste 810

Greenville, SC 296012191

Phone: 8645273145

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.