Active NPI
Elizabeth Lynn Mildren, LLPC
- Counselor
- Auburn Hills, MI
National Provider Identifier
1336716943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401019382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401019382 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartstone Guidance Center LLC | Single Specialty | Past | 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.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1831605567
Single Specialty
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.