Active NPI
Jennifer Costa McMillan
- Mental Health Counselor
- Towson, MD
National Provider Identifier
1174872642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1122 Kenilworth Dr Ste 416
Towson, MD 21204-2148 - Phone
- (443) 451-5122
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1122 Kenilworth Dr Ste 416
Towson, MD 21204-2148
Mailing address
1122 Kenilworth Dr Ste 416
Towson, MD 21204-2148
Phone (443) 451-5122
Other practice location 1
9 Whipple St Unit 10
Cumberland, RI 02864-5384
Phone (401) 426-2406
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Z. Lyons, Licensed Psychologist, LLC | Mental Health | Current | Accepting new patients |
| Heather Z. Lyons, Licensed Psychologist, LLC | Past | Accepting new patients |
Locations
1122 Kenilworth Dr
Ste 416
Towson, MD 21204
Phone (443) 451-5122
Organizations & group practices 2
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.
-
- Counseling Psychologist
- Towson, MD
- NPI 1447639547
Mental Health
-
- Counseling Psychologist
- Cumberland, RI
- NPI 1649159872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1174872642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR STE 416",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042148",
"telephone_number": "443-451-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR STE 416",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042148",
"telephone_number": "443-451-5122"
}
],
"practiceLocations": [
{
"address_1": "9 Whipple St Unit 10",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "RI",
"postal_code": "028645384",
"country_code": "US",
"telephone_number": "401-426-2406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "JENNIFER",
"middle_name": "COSTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.