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Active NPI 1770211047 Individual Practitioner Male Practitioner

Jacob Phillips , CPC

Peer Specialist • Ridgefield, WA

Professional Overview & Biography Verified Profile Summary

Jacob Phillips, CPC is a registered healthcare professional specializing in Peer Specialist in Ridgefield, WA. Practice services are available at 21810 NE 37TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21810 Ne 37th Ave

Ridgefield, WA 986427747

Telephone 3602415695
Associated Practice Facility / Clinic
🏢 X Change Recovery Facility NPI 1033736491

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Ridgefield, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Ridgefield, WA (2660 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: 2022-08-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61240416

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

25 Associated Practitioners
Danira Cuen Sanchez , CO61177127

Counselor - Addiction (Substance Use Disorder)

NPI 1023779667
Candy Mcglathery

Peer Specialist

NPI 1033866603
NPI 1093462624
NPI 1093476442
Tony Brown

Peer Specialist

NPI 1124700802
William Smith

Peer Specialist

NPI 1124845672

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2022

Registered at 21810 NE 37TH AVE, RIDGEFIELD, WA 986427747 (Tel: 3602415695)

📍
Updated Business Mailing Address August 12, 2022

Registered at PO BOX 1299, BATTLE GROUND, WA 986041299 (Tel: 3602415695)

👤
Provider Name / Credentials Updated August 12, 2022

Recorded as JACOB PHILLIPS, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2022

Peer Specialist (License #CG61240416 in WA)

🟢
Initial NPI Registration & Enumeration August 12, 2022

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: 1770211047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2022
Last Update: August 12, 2022
Sole Proprietor: No

Mailing Address

Po Box 1299

Battle Ground, WA 986041299

Phone: 3602415695

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.