Kim M. McMillan, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

154 Lakeside Drive
Canton, GA 30115

Phone

(404) 323-8933

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 14, 2024 through Aug 14, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Damascus Road Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, GA
  • NPI 1750955084
  NPD Authorized official

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1245534346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 DANBURG COURT",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "30143",
            "telephone_number": "404-323-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 LAKESIDE DRIVE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30115",
            "telephone_number": "404-323-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "KIM",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania McKenzie-Ming, NP-C
• Amanda Lynne McKinley
• Kelli Michelle Dye McLaren, PT DPT SCS CMTPT
• Maggie McLean
• Lisa McLeod, DO
• Emily McPeek
• Anna McQuaig
• Elizabeth Alba McTier, PT, DPT
• Elmira McWilliams
• Meadow Winds Counseling Services

• Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.