Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Matthew Phillips, MHCOUNSELORINTERN

Individual provider Mental Health Counselor · NPI 1730954546

Jason Matthew Phillips, MHCOUNSELORINTERN is a Mental Health Counselor in Elyria, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

41315 N Ridge Rd
Elyria, OH 44035-1242
Phone: (440) 366-1106
Fax: (440) 366-7632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C.2406590 (OH)

Record details

NPI number1730954546
Entity typeIndividual (Type 1)
GenderMale
Credentials MHCOUNSELORINTERN
Sole proprietorYes
NPI enumeratedNovember 21, 2023
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

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