Organization Active NPI

Millstone Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Paducah, KY
National Provider Identifier
1053638650
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
810275 Issued in KY
Legal business name
MILLSTONE COUNSELING CENTER
Practice address
4001 Hansen Rd
Paducah, KY 42001-9784
Phone
(270) 554-9216
Fax
(270) 554-8732
NPI assigned
Apr 23, 2010
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mr. Milfred Lee Jones Jr., MS,MFTA
Title
Owner/Operator
Phone
(270) 554-9216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 810275 KY Primary

Addresses

Primary practice location

4001 Hansen Rd
Paducah, KY 42001-9784

Mailing address

4001 Hansen Rd
Paducah, KY 42001
Phone (270) 554-9216

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1053638650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 HANSEN RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-554-9216",
            "fax_number": "270-554-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 HANSEN RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019784",
            "telephone_number": "270-554-9216",
            "fax_number": "270-554-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLSTONE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MILFRED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "270-554-9216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS,MFTA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "810275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.