Active NPI
Courtney Danielle McMillian, LCMHC, CRC
- Mental Health Counselor
- Lexington, NC
National Provider Identifier
1144608944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11503
- Practice address
- 193 Creekstone CT
Lexington, NC 27295 - Phone
- (336) 473-7739
- NPI assigned
- May 12, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CRC# 00119166 | NC | |
| Counselor | 101Y00000X | A11503 | NC | |
| Counselor | 101Y00000X | 11503 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-21598 | NC | |
| Mental Health Counselor | 101YM0800X | 11503 | NC | Primary |
Addresses
Primary practice location
193 Creekstone CT
Lexington, NC 27295
Mailing address
193 Creekstone CT
Lexington, NC 27295-8070
Other practice location 1
175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951
Phone (336) 718-3550
Other practice location 2
582 Wrenn Dr
Lexington, NC 27292-7598
Phone (336) 473-7739
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
| License | State | Type | Specialty |
|---|---|---|---|
| A11503 | NC | MD | Counselor |
| CRC# 00119166 | NC | MD | Counselor |
| LCAS-21598 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 11503 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700956800000",
"number": "1144608944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 CREEKSTONE CT",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272958070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 CREEKSTONE CT",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "27295",
"telephone_number": "336-473-7739"
}
],
"practiceLocations": [
{
"address_1": "175 Kimel Park Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271036951",
"country_code": "US",
"telephone_number": "336-718-3550",
"fax_number": "336-277-1825",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "582 Wrenn Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "NC",
"postal_code": "272927598",
"country_code": "US",
"telephone_number": "336-473-7739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLIAN",
"first_name": "COURTNEY",
"middle_name": "DANIELLE",
"credential": "LCMHC, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-12",
"last_updated": "2023-11-26",
"certification_date": "2023-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "CRC# 00119166",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A11503",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "11503",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-21598",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.