Millard Hollingsworth Drake, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20274 Issued in NC

Practice address

10706 Sikes PL Ste 275
Charlotte, NC 28277-8015

Phone

(704) 577-4071

NPI assigned

Aug 8, 2024

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

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.

• Evolve Psych Group, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waxhaw, NC
  • NPI 1356088389
  NPD (past)

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1649001967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 MCCLINTOCK RD APT 401",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055391",
            "telephone_number": "864-546-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 SIKES PL STE 275",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778015",
            "telephone_number": "704-577-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MILLARD",
        "middle_name": "HOLLINGSWORTH",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drake Express LLC
• Brittany Wray Bishop Drake, BCBA
• Cathy Drake, NP
• David Hamilton Drake Jr., MBA
• Genevieve Drake
• Jason Eric Dranove, MD
• Carolina Roberta Draper, PA
• Kenyon Lee Draper, NP
• Meredith L Draper, CRNA
• Verdaro Draughn, LPC

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.