Millie Gaitan Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MILLIE GAITAN COUNSELING PLLC

Practice address

160 Main Ave N
Twin Falls, ID 83301-6101

Phone

(208) 733-3024

Fax

(208) 733-0929

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Mildred a Gaitan Gonzalez, LCSW

Title

Owner/Provider

Phone

(208) 421-1024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MILLIE GAITAN COUNSELING Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mildred Azucena Gaitan-Gonzalez, L.C.S.W.

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1841535267
  NPD

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1619634425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MAIN AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016101",
            "telephone_number": "208-733-3024",
            "fax_number": "208-733-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016101",
            "telephone_number": "208-733-3024",
            "fax_number": "208-733-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE GAITAN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MILDRED A",
        "authorized_official_middle_name": "GAITAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-421-1024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056-0347063",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLIE GAITAN COUNSELING",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brodie Miller, DPT
• Jenna L Miller, SLP-CF
• Nette Miller, OTR/L
• Noah Paquette Miller, PT
• Ronald Miller, M.D.
• Michael S Milligan, LCSW
• Julie Mills
• Kimberly Miloser, MS, CCC-SLP
• Carla Sue Mingo, MS CCC-SLP
• Michael Chase Mings

• Clinical Social Worker in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.