Individual provider Active NPI

Justin Carey Millard, MS, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1083483382
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23147 Issued in AZ
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

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021003267 AZ Practitioner - Mental Health Counselor 5395277974 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-23147AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Health PLLC CurrentSince Sep 1, 2024 Accepting new patients
Buena Vista Recovery, LLC PastSince Jul 16, 2023 Accepting new patients
Buena Vista Recovery, LLC PastSince Nov 8, 2020 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.

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

Verify at the official NPI Registry.