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

Jeremy Phan, MS

Individual provider Mental Health Counselor · NPI 1851030126

Jeremy Phan, MS is a Mental Health Counselor in Wake Forest, North Carolina. Graduated from Liberty Univ College of Osteopathic Medicine in 2021, 5 years ago. Practices with Vision Behavioral Health Services, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2006 S Main St Ste 206
Wake Forest, NC 27587-9391
Phone: (919) 671-6438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 Scenic Rock Dr, Youngsville, NC 27596-5519 — (919) 671-6438

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 17961 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1851030126
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedJune 3, 2022
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address2006 S Main St Ste 206, Wake Forest, NC 27587-9391

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Vision Behavioral Health Services — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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