Organization Active NPI

Melissa Millinger Counseling

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1073208435
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MELISSA MILLINGER COUNSELING
Practice address
1013 W Cordell Ave
Peoria, IL 61614-3415
Phone
(309) 264-8783
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Melissa Millinger, LCSW, PMH-CNPI 1215559174
Title
Owner
Phone
(309) 264-8783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1013 W Cordell Ave
Peoria, IL 61614-3415

Mailing address

1013 W Cordell Ave
Peoria, IL 61614-3415
Phone (309) 264-8783

National Provider Directory

National Provider Directory

Locations

6035 N Knoxville Ave
Ste 204H
Peoria, IL 61614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1073208435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W CORDELL AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143415",
            "telephone_number": "309-264-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W CORDELL AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143415",
            "telephone_number": "309-264-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA MILLINGER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MILLINGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-264-8783",
        "authorized_official_credential": "LCSW, PMH-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.