Active NPI
John Millett
- Professional Counselor
- Hinsdale, IL
National Provider Identifier
1447815790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.012199
- Practice address
- 111 S Grant St
Hinsdale, IL 60521-4050 - Phone
- (630) 563-0044
- NPI assigned
- May 2, 2019
- Sex
- Male
- 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 | 180.012199 | IL | Primary |
Addresses
Primary practice location
111 S Grant St
Hinsdale, IL 60521-4050
Mailing address
90 Lincoln Ave # GN
Riverside, IL 60546-1934
Phone (630) 995-5486
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 |
|---|---|---|---|
| 180.012199 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Insight, Inc | Professional | 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.
-
- Professional Counselor
- Hinsdale, IL
- NPI 1073886644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1447815790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 LINCOLN AVE # GN",
"city": "RIVERSIDE",
"state": "IL",
"postal_code": "605461934",
"telephone_number": "630-995-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S GRANT ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605214050",
"telephone_number": "630-563-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLETT",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.012199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.