Individual provider Active NPI

Kyisha Leigh Milligan, CDCA-PRE

  • Addiction (Substance Use Disorder) Counselor
  • Marion, OH
National Provider Identifier
1417623364
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
176361 Issued in OH
Practice address
827 N Main St
Marion, OH 43302-1736
Phone
(740) 914-5000
Fax
(740) 914-5005
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X 176361 OH Primary

Addresses

Primary practice location

827 N Main St
Marion, OH 43302-1736

Mailing address

827 N Main St
Marion, OH 43302-1736
Phone (740) 914-5000

Other practice location 1

333 East Center St
Suite 302
Marion, OH 43302
Phone (740) 751-4078

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmilligan@D1recovery.com
Direct Messaging Address kmilligan@d1recovery.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
176361OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Day One Integrative Services LLC. 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.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1417623364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000",
            "fax_number": "740-914-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000",
            "fax_number": "740-914-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 East Center St",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "43302",
            "country_code": "US",
            "telephone_number": "740-751-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "KYISHA",
        "middle_name": "LEIGH",
        "credential": "CDCA-PRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "176361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmilligan@D1recovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "827 N Main St",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433021736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmilligan@d1recovery.com",
            "affiliation": "N",
            "address_1": "333 East Center St",
            "address_2": "Suite 302",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.