Individual provider Active NPI

Denise Millet, MS, LPC, LMFT-IT

  • Professional Counselor
  • Williams Bay, WI
National Provider Identifier
1174178644
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7427-125 Issued in WI
Practice address
93 W Geneva St Ste 2E
Williams Bay, WI 53191-9562
Phone
(262) 607-2770
NPI assigned
Aug 1, 2019
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7427-125 WI Primary

Addresses

Primary practice location

93 W Geneva St Ste 2E
Williams Bay, WI 53191-9562

Mailing address

N2416 Charles Young Dr
Burlington, WI 53105-9022
Phone (608) 669-1069

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Centerforchangecounseling.com

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

LicenseStateTypeSpecialty
7427-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Change, LLC PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1174178644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2416 CHARLES YOUNG DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531059022",
            "telephone_number": "608-669-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W GENEVA ST STE 2E",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531919562",
            "telephone_number": "262-607-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLET",
        "first_name": "DENISE",
        "credential": "MS, LPC, LMFT-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7427-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Centerforchangecounseling.com",
            "affiliation": "N",
            "address_1": "93 W Geneva St Ste 2E",
            "city": "Williams Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531919562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williams Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.