Organization Active NPI

Milestones 4 Life LLC

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1376732495
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E3553 Issued in OH
Legal business name
MILESTONES 4 LIFE LLC
Practice address
3400 N High St
Suite 400
Columbus, OH 43202-1142
Phone
(614) 596-5532
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Jessica Smith Evans, PH.D, LPCC
Title
President/Clinical Director
Phone
(614) 596-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E3553 OH Primary

Addresses

Primary practice location

3400 N High St
Suite 400
Columbus, OH 43202-1142

Mailing address

3400 N High St
Suite 200
Columbus, OH 43202-1142
Phone (614) 596-5532

Other identifiers 1

IdentifierTypeStateIssuer
1811195324OtherOHNPI

National Provider Directory

National Provider Directory

Locations

3400 N High St
Ste 400
Columbus, OH 43202
Phone (614) 261-1095

3400 N High St
Ste 200
Columbus, OH 43202
Phone (614) 596-5532

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1376732495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N HIGH ST",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021142",
            "telephone_number": "614-596-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N HIGH ST",
            "address_2": "SUITE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021142",
            "telephone_number": "614-596-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES 4 LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "614-596-5532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E3553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811195324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.