Active NPI
Lynette J Milligan, M.S.
- Professional Counselor
- Medford, OR
National Provider Identifier
1134472863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- STB-T-10130007
- Practice address
- 142 N Ivy St Ste 2
Medford, OR 97501-2758 - Phone
- (541) 761-0530
- Fax
- (541) 690-1117
- NPI assigned
- Oct 18, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | STB-T-10130007 | OR | |
| Mental Health Counselor | 101YM0800X | STB-T-10130007 | OR | |
| Professional Counselor | 101YP2500X | STB-T-10130007 | OR | Primary |
| Behavior Analyst | 103K00000X | STB-T-100130007 | OR |
Addresses
Primary practice location
142 N Ivy St Ste 2
Medford, OR 97501-2758
Mailing address
P.O. Box 3913
Central Point, OR 97538
Phone (541) 761-0530
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STB-T-10130007 | OR | MD | Mental Health Counselor |
| STB-T-100130007 | OR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1134472863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3913",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "97538",
"telephone_number": "541-761-0530",
"fax_number": "541-690-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 N IVY ST STE 2",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975012758",
"telephone_number": "541-761-0530",
"fax_number": "541-690-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIGAN",
"first_name": "LYNETTE",
"middle_name": "J",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "STB-T-10130007",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "STB-T-10130007",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "STB-T-10130007",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "STB-T-100130007",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.