Active NPI
Justin Carey Millard, MS, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1083483382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-23147
- Practice address
- 2002 E Osborn Rd # 101
Phoenix, AZ 85016-7236 - Phone
- (602) 237-5549
- NPI assigned
- Dec 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-23147 | AZ | Primary |
Addresses
Primary practice location
2002 E Osborn Rd # 101
Phoenix, AZ 85016-7236
Mailing address
1040 E Osborn Rd Unit 203
Phoenix, AZ 85014-5249
Phone (480) 307-0627
Other practice location 1
2620 N 140th Ave # 101
Goodyear, AZ 85395-2437
Phone (623) 536-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-23147 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Sage Health PLLC | Current | Accepting new patients | |
| Buena Vista Recovery, LLC | Past | Accepting new patients | |
| Buena Vista Recovery, LLC | Past | Accepting new patients |
Locations
2620 N 140th Ave
#101
Goodyear, AZ 85395
Phone (623) 536-7956
Organizations & group practices 3
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.
-
- Psychologist
- Goodyear, AZ
- NPI 1891201521
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Scottsdale, AZ
- NPI 1770107476
-
- Corporate Health Clinic/Center
- Chandler, AZ
- NPI 1881230886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1083483382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 E OSBORN RD UNIT 203",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145249",
"telephone_number": "480-307-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 E OSBORN RD # 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167236",
"telephone_number": "602-237-5549"
}
],
"practiceLocations": [
{
"address_1": "2620 N 140th Ave # 101",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952437",
"country_code": "US",
"telephone_number": "623-536-7956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLARD",
"first_name": "JUSTIN",
"middle_name": "CAREY",
"name_prefix": "Mr.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-28",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-23147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.