Crystal McMillon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851100341 Issued in MI

Practice address

66 Market St
Mount Clemens, MI 48043-5637

Phone

(586) 372-9846

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wellness Hour Counseling Center, PLLC

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1538761317
  NPD

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1487323929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44990 HEYDENREICH RD STE D",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381558",
            "telephone_number": "586-372-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MARKET ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435637",
            "telephone_number": "586-372-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLON",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851100341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Macomb
• McLaren Macomb
• McLaren Macomb
• McLaren Macomb
• McLaren Macomb
• McRmc Professional Oncology Billing LLC
• Meadows Assisted Living LLC
• Amy Jean Measel, PA-C
• Selma Medic-Cufurovic, LMSW
• Lindsey Kristin Meding

• Clinical Social Worker in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.