Active NPI
Juliet E Millard, PHD
- Professional Counselor
- Bowling Green, VA
National Provider Identifier
1437291481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002974
- Practice address
- 17024 Maple Dr
Bowling Green, VA 22427-2416 - Phone
- (804) 633-9993
- Fax
- (803) 633-9995
- NPI assigned
- Feb 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002974 | VA | Primary |
Addresses
Primary practice location
17024 Maple Dr
Bowling Green, VA 22427-2416
Mailing address
17024 Maple Dr
Bowling Green, VA 22427-2416
Phone (804) 633-9993
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199405 | Other | VA | ANTHEM PROVIDER NUMBER |
| 7274234 | Other | VA | AETNA PROVIDER NUMBER |
| 103070 | Other | VA | UBH PROVIDER NUMBER |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002974 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437291481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17024 MAPLE DR",
"city": "BOWLING GREEN",
"state": "VA",
"postal_code": "224272416",
"telephone_number": "804-633-9993",
"fax_number": "803-633-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17024 MAPLE DR",
"city": "BOWLING GREEN",
"state": "VA",
"postal_code": "224272416",
"telephone_number": "804-633-9993",
"fax_number": "803-633-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLARD",
"first_name": "JULIET",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "199405",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7274234",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH PROVIDER NUMBER",
"identifier": "103070",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, VA
- Brianna Shelton Jett, FNP-C
- Brian Christopher Mahoney, D.D.S.
- M Stephen Mandell Jr., M.D.
- Kristi Michelle Maupin, ATC,DPT
- Medical Facilities of America XL (Bowling Green Health & Rehabilitation Center)
- Jacqueline Morgan, DPT
- Laura Pennington Mosonyi, MS OTR
- Katlin Moyer, MA CCC-SLP
- Remuda Ranch Center for Eating Disorders East, Inc. (Remuda Life Program)
- Richard D Hyltoir DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.