Active NPI
John Millikin
- Marriage & Family Therapist
- Reston, VA
National Provider Identifier
1346632155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717-001019
- Practice address
- 1984 Isaac Newton SQ W
204
Reston, VA 20190-5038 - Phone
- (703) 464-9700
- Fax
- (703) 464-8669
- NPI assigned
- Mar 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717-001019 | VA | Primary |
Addresses
Primary practice location
1984 Isaac Newton SQ W
204
Reston, VA 20190-5038
Mailing address
1984 Isaac Newton SQ West
204
Reston, VA 20190
Phone (703) 464-9700
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 |
|---|---|---|---|
| 0717-001019 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1346632155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1984 ISAAC NEWTON SQ WEST",
"address_2": "204",
"city": "RESTON",
"state": "VA",
"postal_code": "20190",
"telephone_number": "703-464-9700",
"fax_number": "703-464-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 ISAAC NEWTON SQ W",
"address_2": "204",
"city": "RESTON",
"state": "VA",
"postal_code": "201905038",
"telephone_number": "703-464-9700",
"fax_number": "703-464-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKIN",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717-001019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.