Tina Marie Milan, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW88858 Issued in CA

Practice address

4300 Fort Peck St
Shasta Lake, CA 96019-9286

Phone

(530) 338-0087

NPI assigned

Jul 22, 2013

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Tina Marie Fisher Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Dunamis Center Incorporated

  dba The Resiliency Co.

  • Mental Health Counselor
  • Redding, CA
  • NPI 1023557519
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1225470081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1423",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960191423",
            "telephone_number": "530-528-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 FORT PECK ST",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199286",
            "telephone_number": "530-338-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22425 Sunbright Ave",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960809741",
            "country_code": "US",
            "telephone_number": "530-528-2342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Antelope Blvd",
            "address_2": "Building B Suite 30",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960802474",
            "country_code": "US",
            "telephone_number": "530-529-9454 x118",
            "fax_number": "530-529-9456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22425 Sunbright Ave",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960809741",
            "country_code": "US",
            "telephone_number": "530-528-2342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "756 Rio St",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960803338",
            "country_code": "US",
            "telephone_number": "832-538-5274",
            "fax_number": "530-690-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILAN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW88858",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "88858",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW35034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "00279697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "FISHER",
            "middle_name": "MARIE",
            "credential": "TINA MARIE STANDIFER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Lemos, OTR/L
• Lims Shasta Lake Pharmacy Inc
• Jill M Marshall, LCSW
• Richard Arthur Martin, O.D.
• John Meyer, PHARMD
• Kathryn Jocelyn Nuss, CASII, NCACI
• Patrick O'Learly, MFT
• Osterman's #3 Inc
• Lynn Painter, RDH
• Fuey Clarie Phan

• Mental Health Counselor in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.