Jay and Marsha Millard Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JAY AND MARSHA MILLARD FOUNDATION

Practice address

1629 Madison Ave
Covington, KY 41011-3317

Phone

(859) 307-9296

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Jay Millard

Title

Executive Director

Phone

(859) 307-9296

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jenna Ward Callahan, LPCC

  • Professional Counselor
  • Somerset, KY
  • NPI 1124432240
  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1376322164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113317",
            "telephone_number": "859-307-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY AND MARSHA MILLARD FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-307-9296"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Ingram Farris, B.A.
• Lara Brooke Ingram, MSW
• Crystal Jackson, NDTR
• Laura K Jackson, LCSW; LCDC III
• Tracie R Jackson, PRS
• Kimberlee Dawn Jerles, LMT
• Deaira Jett
• Rebecca Jilek
• Amy Johnson
• Tracey Holbrook Johnstone

• Community/Behavioral Health Agency in Covington, KY
• Providers in Covington, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.