Individual provider Active NPI

Elizabeth Lynn Mildren, LLPC

  • Counselor
  • Auburn Hills, MI
National Provider Identifier
1336716943
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401019382 Issued in MI
Practice address
3069 University Dr
Auburn Hills, MI 48326-2324
Phone
(248) 564-8050
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 6401019382 MI Primary

Addresses

Primary practice location

3069 University Dr
Auburn Hills, MI 48326-2324

Mailing address

594 Shellbourne Dr
Rochester Hills, MI 48309-1027
Phone (917) 385-9890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmildren@sollarsassociates.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401019382MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartstone Guidance Center LLC Single Specialty PastSince Mar 25, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1336716943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 SHELLBOURNE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091027",
            "telephone_number": "917-385-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 UNIVERSITY DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262324",
            "telephone_number": "248-564-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDREN",
        "first_name": "ELIZABETH",
        "middle_name": "LYNN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401019382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmildren@sollarsassociates.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Auburn Hills",
            "address_1": "3069 University Dr",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483262324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.