Active NPI
Heike McMillan, LPC
- Professional Counselor
- Conyers, GA
National Provider Identifier
1699074047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC001966
- Practice address
- 970 Milstead Ave NE
Conyers, GA 30012-4526 - Phone
- (770) 860-8549
- Fax
- (866) 210-1269
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC001966 | GA | Primary |
Addresses
Primary practice location
970 Milstead Ave NE
Conyers, GA 30012-4526
Mailing address
2525 Ozora Church Rd
Lawrenceville, GA 30045-8631
Phone (770) 554-2389
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC001966 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1699074047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 OZORA CHURCH RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300458631",
"telephone_number": "770-554-2389",
"fax_number": "770-554-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 MILSTEAD AVE NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300124526",
"telephone_number": "770-860-8549",
"fax_number": "866-210-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "HEIKE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC001966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.