Active NPI
Latina McMillan
- Professional Counselor
- Harvey, IL
National Provider Identifier
1124972393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180011890
- Practice address
- 14715 Campbell Ave
Harvey, IL 60426-1370 - Phone
- (773) 858-1989
- NPI assigned
- Feb 24, 2026
- Last updated
- Feb 24, 2026
- Sex
- Female
- 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 | 180011890 | IL | Primary |
Addresses
Primary practice location
14715 Campbell Ave
Harvey, IL 60426-1370
Mailing address
14715 Campbell Ave
Harvey, IL 60426-1370
Phone (773) 858-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180011890 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1124972393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14715 CAMPBELL AVE",
"city": "HARVEY",
"state": "IL",
"postal_code": "604261370",
"telephone_number": "773-858-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14715 CAMPBELL AVE",
"city": "HARVEY",
"state": "IL",
"postal_code": "604261370",
"telephone_number": "773-858-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "LATINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180011890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, IL
- Rosemary Siroun Matossian, MD
- Shirley Ann McCann, RNC NP
- Leonora McClelland-Sandridge
- Bernice Lynette McLaurin, PHARMD
- Timothy Donald McManus, PSY.D.
- Medcentrix Inc (Ingalls Proof Phcy)
- Medcentrix Inc (ingalls pro pharm 4)
- Medcentrix Inc (ingalls prof pharmacy)
- Medcentrix Inc (Ingalls Professional Pharmacy)
- Ardeshir R Medhat, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.