Healthcare Provider Details

I. General information

NPI: 1730092636
Provider Name (Legal Business Name): JHP CLINICAL CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MAIN STREET SUIT 224
NORTH ADAMS MA
01247
US

IV. Provider business mailing address

85 MAIN STREET SUIT 224
NORTH ADAMS MA
01247
US

V. Phone/Fax

Practice location:
  • Phone: 315-481-3224
  • Fax:
Mailing address:
  • Phone: 315-481-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. JERAD H. PHILLIPS
Title or Position: OWNER AND OPERATOR
Credential: LMHC
Phone: 315-481-3224