Individual provider Active NPI

Jeanevra Lanise McMillan, LMFT

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1609359710
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
20817 Issued in NC
Practice address
6135 Park South Dr Ste 105
Charlotte, NC 28210-3272
Phone
(704) 810-2700
NPI assigned
Sep 13, 2018
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 20817 NC Primary

Addresses

Primary practice location

6135 Park South Dr Ste 105
Charlotte, NC 28210-3272

Mailing address

6135 Park South Dr Ste 105
Charlotte, NC 28210-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209001158 NC Practitioner - Marriage and Family Therapist 1951880137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apogee Behavioral Medicine PCGroup PAC ID 6204218357, 64 clinicians

Practice addresses (Care Compare)

7200 Creemoor Rd
Suite 200
Raleigh, NC 27613
Phone (919) 912-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20817NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Behavioral Medicine PC CurrentSince Dec 23, 2025 Accepting new patients
Advocate2Create, LLC Marriage & Family Therapist Past Accepting new patients

Locations

445 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 649-9000

7200 Creedmoor Rd
Ste 200
Raleigh, NC 27613
Phone (919) 912-5600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1609359710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103272",
            "telephone_number": "704-810-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "JEANEVRA",
        "middle_name": "LANISE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.