Individual provider Active NPI

Constance M Milland, MA, MS

  • Addiction (Substance Use Disorder) Counselor
  • Stroudsburg, PA
National Provider Identifier
1053678045
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
724 Phillips St Ste a
Stroudsburg, PA 18360-2242
Phone
(570) 517-0892
Fax
(570) 476-6466
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 1

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

Addresses

Primary practice location

724 Phillips St Ste a
Stroudsburg, PA 18360-2242

Mailing address

724 Phillips St Ste a
Stroudsburg, PA 18360-2242
Phone (570) 517-0892

Other identifiers 1

IdentifierTypeStateIssuer
1007592970036MedicaidPA

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
Credentials
Master of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Social Services Inc Past Accepting new patients

Organizations & group practices 1

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1053678045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PHILLIPS ST STE A",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602242",
            "telephone_number": "570-517-0892",
            "fax_number": "570-476-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PHILLIPS ST STE A",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602242",
            "telephone_number": "570-517-0892",
            "fax_number": "570-476-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAND",
        "first_name": "CONSTANCE",
        "middle_name": "M",
        "credential": "MA, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007592970036",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.