Bridget Dixon Milliken, LCMHC, LCASA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9796 Issued in NC

Practice address

201 N Front St Ste 704
Wilmington, NC 28401-5090

Phone

(910) 769-9126

Fax

(910) 769-9169

NPI assigned

Nov 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Bridget Dixon Milliken Former name

Electronic endpoints 2

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Ties of Brunswick, LLCGroup PAC ID 7911309430, 8 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Ties of Brunswick, LLC

  dba Family Ties Mental Health and Substance Abuse Counseling Services

  • Professional Counselor
  • Wilmington, NC
  • NPI 1831682665

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• East Coast Rehab Partners, PLLC

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1356915797
  NPD

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1265776876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 704",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015090",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 704",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015090",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5320 Bridgers Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704737",
            "country_code": "US",
            "telephone_number": "910-754-4097",
            "fax_number": "910-769-9169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "BRIDGET",
        "middle_name": "DIXON",
        "credential": "LCMHC, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20956",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9796",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27730",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bridget.milliken@familytiesmhcs.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "201 N Front St Ste 615",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284015091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget.milliken@familytiesmhcs.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "201 N Front St Ste 704",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284015090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "MILLIKEN",
            "middle_name": "DIXON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia J Miller, L.AC.
• Scott F Miller, MSW, LCSWA
• Shawn William Miller
• Theresa Kiernan Miller, OTR/CHT
• Laris Wayne Milligan, D.M.D., M.S.
• McCall Milliken
• Camme Beckerdite Millis, LPN
• Luke Mills
• Makayla Jessica Bowling Mills, MSW
• Mims Manor LLC

• Professional Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.