Individual provider Active NPI

Tammie Lynne Milliken, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1689208647
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18803 Issued in AZ
Practice address
3333 N Campbell Ave
Ste 13
Tucson, AZ 85719-2357
Phone
(520) 261-2134
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-18803 AZ Primary

Addresses

Primary practice location

3333 N Campbell Ave
Ste 13
Tucson, AZ 85719-2357

Mailing address

3333 N Campbell Ave
Ste 13
Tucson, AZ 85719-2357
Phone (520) 975-3017

Other identifiers 1

IdentifierTypeStateIssuer
LPC-18803OtherAZARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-18803AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Connections, LLC Professional CurrentSince May 9, 2021 Accepting new patients
Aspire Counseling Solutions PLLC CurrentSince Apr 25, 2021 Accepting new patients

Locations

3333 N Campbell Ave
Ste 13
Tucson, AZ 85719
Phone (520) 261-2134

7382 N La Cholla Blvd
Tucson, AZ 85741
Phone (314) 706-3918

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1689208647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CAMPBELL AVE",
            "address_2": "STE 13",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192357",
            "telephone_number": "520-975-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CAMPBELL AVE",
            "address_2": "STE 13",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192357",
            "telephone_number": "520-261-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "TAMMIE",
        "middle_name": "LYNNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-18803",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.