Active NPI
Linda Girardo-Millard, MA
- Counselor
- Camden, NJ
National Provider Identifier
1104956614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 584 Benson St
Camden, NJ 08103 - Phone
- (856) 964-1990
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
584 Benson St
Camden, NJ 08103
Mailing address
907 Stockton Dr
Mullica Hill, NJ 08062-1843
Phone (856) 964-1990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1309161 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1104956614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 STOCKTON DR",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080621843",
"telephone_number": "856-964-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 BENSON ST",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103",
"telephone_number": "856-964-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARDO-MILLARD",
"first_name": "LINDA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1309161",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.