Jeremy Phan, MS
Mental Health Counselor · Wake Forest, NC
Jeremy Phan, MS is a mental health counselor with a practice address in Wake Forest, North Carolina, and NPI 1851030126, issued on Jun 3, 2022. Check the license (North Carolina 17961, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jeremy Phan
- Credential
- MS
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- 17961 NC
Self-reported in NPPES; status is on the state search - Practice location
- 2006 S Main St Ste 206, Wake Forest, NC 27587
- Phone
- (919) 671-6438
- Enumerated
- Jun 3, 2022
- Record last updated
- Dec 6, 2024
- Medicare enrollment
- Enrolled (PECOS I20250319002119); accepts Medicare assignment
- Medical or professional school
- Liberty Univ College Of Osteopathic Medicine, 2021
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 8,858 in North Carolina → Look up another NPI →
Also registered at 2006 S Main St Ste 206
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jeremy Phan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 17961Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Vision Behavioral Health ServicesLouisburg, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jeremy Phan among 8,858 mental health counselor records in North Carolina
Jeremy Phan, MS is one of 8,858 mental health counselor records with a practice address in North Carolina. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 60% of them.
- NPI issued2022 · 60% of these records are older, 32% newer
- In a Medicare fileYes · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2021 · median 2015 among the 931 with a school on file
- Record last updated2024 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
91 mental health counselor records list a practice address in Wake Forest
They are 91 of the 1,106 NPPES records with a practice address in Wake Forest, and 8,858 mental health counselor records in North Carolina.
All 8,858 in North Carolina → Every provider in Wake Forest → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Dorothy Allen, MA LPAWake Forest, NC 275871790896959
- Mary Barine, LPCWake Forest, NC 275871003003039
- Stephen Barine, LPCWake Forest, NC 275871346437365
- Jewel Butler, MA LPCWake Forest, NC 275871407967664
- Elizabeth Conroy, LPCWake Forest, NC 275871770707911
- Krista Etchison, MA, LCMHCS, NCCWake Forest, NC 275871093946857
- Tracy Flynn, M.S. ED., LPCWake Forest, NC 275871871825794
- Sally Gadd, LPCWake Forest, NC 275871679699896
Common questions
What is Jeremy Phan, MS's NPI number?
Jeremy Phan, MS's National Provider Identifier (NPI) is 1851030126, issued on Jun 3, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Jeremy Phan, MS located?
The NPPES record lists a practice address at 2006 S Main St Ste 206, Wake Forest, NC, 27587. Phone: (919) 671-6438. Providers update this record themselves, so call before visiting.
How can I verify Jeremy Phan, MS's license?
NPPES lists North Carolina license number 17961, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.