Linda Lou Millek – Pastoral Counselor

Key facts

NPI: 1295054302
Entity type: Individual (NPI type 1)
Primary specialty: Pastoral Counselor 101YP1600X
Practice address: 18575 32ND St
Gobles, MI 49055
Phone: (269) 628-0202
Fax: (269) 628-0202
NPI assigned: May 28, 2010
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Bachelor of Science

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pastoral Counselor	101YP1600X		MI	Yes

Addresses

Primary practice location

18575 32ND St
Gobles, MI 49055

Mailing address

18575 32ND St
Gobles, MI 49055
Phone (269) 628-0202

Other names

Ms. Linda Lou Millek Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 28, 2010.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1295054302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 32ND ST",
            "city": "GOBLES",
            "state": "MI",
            "postal_code": "49055",
            "telephone_number": "269-628-0202",
            "fax_number": "269-628-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 32ND ST",
            "city": "GOBLES",
            "state": "MI",
            "postal_code": "49055",
            "telephone_number": "269-628-0202",
            "fax_number": "269-628-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEK",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "B.S. CMT, C.HT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MILLEK",
            "middle_name": "LOU",
            "prefix": "MS.",
            "credential": "BS, CMT, NBC, C.HT.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gobles, MI

All providers in Gobles, MI · Pastoral Counselor in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.