Individual provider Active NPI

Debra Ann Millman, LPC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1104066893
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4177-125 Issued in WI
Practice address
715 Hill Street
Suite 270
Madison, WI 53705-7364
Phone
(608) 802-7739
Fax
(608) 338-0032
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4177-125 WI
Mental Health Counselor 101YM0800X 4177-125 WI Primary

Addresses

Primary practice location

715 Hill Street
Suite 270
Madison, WI 53705-7364

Mailing address

2583 Fahey Glen
Fitchburg, WI 53711-9400
Phone (608) 802-7739

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

State licenses

LicenseStateTypeSpecialty
4177-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Millman Counseling and Consulting, LLC CurrentSince Dec 10, 2023 Accepting new patients
Greyley Wellness LLC Mental Health PastSince Sep 1, 2021 Accepting new patients
Living Well Counseling Services LLC Mental Health Past Accepting new patients

Locations

715 Hill St
Ste 270
Madison, WI 53705
Phone (608) 274-4487

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1104066893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 FAHEY GLEN",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537119400",
            "telephone_number": "608-802-7739",
            "fax_number": "608-338-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILL STREET",
            "address_2": "SUITE 270",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537057364",
            "telephone_number": "608-802-7739",
            "fax_number": "608-338-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4177-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4177-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.