Provider Demographics
NPI:1174411458
Name:PHIPPS, OLIVIA (LPCC)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 29TH ST UNIT 1292
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1010
Mailing Address - Country:US
Mailing Address - Phone:720-340-2260
Mailing Address - Fax:
Practice Address - Street 1:1601 29TH ST UNIT 1292
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1010
Practice Address - Country:US
Practice Address - Phone:720-340-2260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0016224101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health