Individual provider Active NPI

Georgette G. McMillan, LSW

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1043045586
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S-2411421 Issued in OH
Practice address
1507 Market St
Youngstown, OH 44507-1127
Phone
(330) 744-5143
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S-2411421 OH Primary

Addresses

Primary practice location

1507 Market St
Youngstown, OH 44507-1127

Mailing address

1507 Market St
Youngstown, OH 44507-1127
Phone (330) 744-5143

Other practice location 1

1764 Market St
Youngstown, OH 44507-1156
Phone (330) 744-5143

Other practice location 2

1806 Market St
Youngstown, OH 44507-1136
Phone (330) 744-5143

Other practice location 3

1608 Market St
Youngstown, OH 44507-1130
Phone (330) 744-5143

Other practice location 4

1771 Market St
Youngstown, OH 44507-1135
Phone (330) 744-5143

Other practice location 5

1740 Market St
Youngstown, OH 44507-1156
Phone (330) 744-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S-2411421OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning County Community Corrections Association, Inc. CurrentSince Aug 8, 2021 Accepting new patients
Mahoning County Community Corrections Association, Inc. CurrentSince Jul 23, 2023 Accepting new patients

Locations

1608 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1771 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1806 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1507 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1764 Market St
Youngstown, OH 44507
Phone (330) 742-8672

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1043045586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071127",
            "telephone_number": "330-744-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071127",
            "telephone_number": "330-744-5143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1764 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071156",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071136",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071130",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1771 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071135",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071156",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "GEORGETTE",
        "middle_name": "G.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S-2411421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.