Chavon Marie McMillian – Professional Counselor

Key facts

NPI: 1275967697
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: LC12153 (MD)
Practice address: 1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599
Phone: (844) 843-7279
NPI assigned: Aug 22, 2013
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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.

Morralee Community Inc Professional Counselor · Gwynn Oak, MD · NPI 1528700457

Medicare reassignment NPD Authorized official MD · PROFESSIONAL
Balance Point Wellness, LLC Clinical Psychologist · Baltimore, MD · NPI 1619390952

Medicare reassignment NPD MD
Morralee, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Gwynn Oak, MD · NPI 1134876543

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20241007000313	MD	Practitioner - Mental Health Counselor	9931630654	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
LC12153	MD	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Morralee, LLC		Current since Mar 13, 2022	Accepting new patients
Morralee Community Inc	Professional	Current since Jan 1, 2025	Accepting new patients
Balance Point Wellness, LLC		Current since Sep 10, 2024	Accepting new patients

Locations

5820 York Rd
Ste 201
Baltimore, MD 21212
Phone (410) 365-0693

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

212 W Main St
Ste 303
Salisbury, MD 21801
Phone (410) 401-8075

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	LC12153	MD	Yes

Addresses

Primary practice location

1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599

Mailing address

4212 Wentworth Rd
Gwynn Oak, MD 21207-7432

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	Unknown

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 28, 2021.

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1275967697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 WENTWORTH RD",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212077432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 TOWNE CENTRE BLVD STE 250",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013599",
            "telephone_number": "844-843-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIAN",
        "first_name": "CHAVON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "address_1": "1910 Towne Centre Blvd Ste 250",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214013599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annapolis, MD

All providers in Annapolis, MD · Professional Counselor in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.