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

MS. Mary Phillips, MA, LP

Individual provider Clinical Psychologist · NPI 1972677979

MS. Mary Phillips, MA, LP is a Clinical Psychologist in Elk River, Minnesota. Qualified in 1993, 33 years ago. Practices with Glasswing Counseling and Wellness LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
33
Licensed in
MN
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

633 Main St NW Apt 220
Elk River, MN 55330-1792
Phone: (612) 422-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP 4021 (MN)

Record details

NPI number1972677979
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LP
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESFebruary 12, 2022
Certification dateFebruary 12, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Glasswing Counseling And Wellness Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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