Organization Active NPI

Katrina M Milliken PLLC

  • Clinical Social Worker
  • Chelsea, MI
National Provider Identifier
1306401484
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATRINA M MILLIKEN PLLC
Practice address
134 W Middle St Ste I
Chelsea, MI 48118-1515
Phone
(248) 491-8840
Fax
(248) 592-7240
NPI assigned
May 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Katrina M Milliken, LMSWNPI 1619288636
Title
Owner/Therapist
Phone
(248) 978-3584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

134 W Middle St Ste I
Chelsea, MI 48118-1515

Mailing address

572 Pleasant Dr
Gregory, MI 48137-9580
Phone (248) 978-3584

Other names 2

  • Grace Behavioral Health of MI Doing business as
  • Grace Behavioral Health of Michigan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240308002159 MI Part B Supplier - Clinic/Group Practice 6204272503 Receives reassigned benefits from 1 practitioner
Practice locations: Chelsea, MI

National Provider Directory

National Provider Directory

Locations

134 W Middle St
Ste I
Chelsea, MI 48118
Phone (248) 491-8840

104 E Lake St
Ste C
South Lyon, MI 48178

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1306401484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 PLEASANT DR",
            "city": "GREGORY",
            "state": "MI",
            "postal_code": "481379580",
            "telephone_number": "248-978-3584",
            "fax_number": "248-592-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W MIDDLE ST STE I",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181515",
            "telephone_number": "248-491-8840",
            "fax_number": "248-592-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA M MILLIKEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "MILLIKEN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-978-3584",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Behavioral Health of MI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Behavioral Health of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.