Individual provider Active NPI

Dierk Milum

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1306037452
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15565 Issued in TX
Practice address
112 SW 8TH Ave Ste 604
Amarillo, TX 79101-2314
Phone
(806) 672-7938
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15565 TX Primary

Addresses

Primary practice location

112 SW 8TH Ave Ste 604
Amarillo, TX 79101-2314

Mailing address

112 SW 8TH Ave Ste 604
Amarillo, TX 79101-2314
Phone (806) 672-7938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20251020001452 TX Practitioner - Mental Health Counselor 7214425545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15565TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC Professional CurrentSince Aug 9, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince Aug 9, 2025 Accepting new patients

Locations

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1306037452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SW 8TH AVE STE 604",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012314",
            "telephone_number": "806-672-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SW 8TH AVE STE 604",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012314",
            "telephone_number": "806-672-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILUM",
        "first_name": "DIERK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.