Pamela L Millan, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1591 Issued in NC

Practice address

363 Williamson Rd
Suite 102
Mooresville, NC 28117-5973

Phone

(704) 664-7148

Fax

(704) 664-3086

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Skills Therapy Center LLC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1982571402
  Medicare reassignment NPD Authorized official
• Child & Family Therapy Center, PC

  • Professional Counselor
  • Mooresville, NC
  • NPI 1275788119
  Medicare reassignment NPD
• Child & Family Therapy Center PC

  • Professional Counselor
  • Conover, NC
  • NPI 1396074159
  NPD (past)
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1164550521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 WILLIAMSON RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175973",
            "telephone_number": "858-231-6279",
            "fax_number": "619-878-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 WILLIAMSON RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175973",
            "telephone_number": "704-664-7148",
            "fax_number": "704-664-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "PAMELA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45869",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Michel, PA-C
• Angela Jarvis Micolucci, LCMHCS
• Mike D Management
• Elizabeth Hamer Miles, MA, CCC-SLP
• Alexandrea Paige Miletto
• Allison K Miller, LAT, ATC
• Cindy Ann Miller, OTR/L
• Craig David Miller, D.D.S.
• Dale Richard Miller, DMD
• Gabrielle Kristine Miller, PA-C

• Marriage & Family Therapist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.

Verify at the official NPI Registry.