Individual provider Active NPI

Dawn E Milburn, LPC, LCPC

  • Professional Counselor
  • Alton, IL
National Provider Identifier
1629498308
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2009036412 Issued in MO
Practice address
1 Saint Anthonys Way
Alton, IL 62002-4568
Phone
(618) 465-2571
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180010629 IL
Professional Counselor 101YP2500X 2009036412 MO Primary

Addresses

Primary practice location

1 Saint Anthonys Way
Alton, IL 62002-4568

Mailing address

907 Logan St
Alton, IL 62002-3349
Phone (314) 378-6219

Other practice location 1

1600 N Missouri Ave
Marceline, MO 64658-1012
Phone (844) 853-8937

Other practice location 2

307 Broadway
Salsbury, MO 65281-1037
Phone (844) 853-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231125000270 MO Practitioner - Mental Health Counselor 4486915204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

1600 N Missouri Ave
Marceline, MO 64658-1012
Phone (660) 376-2038

1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071

307 S Broadway
Salisbury, MO 65281-1037
Phone (660) 388-6446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180010629ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Compass Health, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038

307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1629498308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LOGAN ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023349",
            "telephone_number": "314-378-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT ANTHONYS WAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024568",
            "telephone_number": "618-465-2571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Marceline",
            "state": "MO",
            "postal_code": "646581012",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Broadway",
            "address_purpose": "LOCATION",
            "city": "Salsbury",
            "state": "MO",
            "postal_code": "652811037",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "DAWN",
        "middle_name": "E",
        "credential": "LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010629",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009036412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.