Active NPI
Dawn E Milburn, LPC, LCPC
- Professional Counselor
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009036412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180010629 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.