Millenium Counseling Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MILLENIUM COUNSELING SERVICES, INC

Practice address

720 Old Morgantown Rd
Bowling Green, KY 42101-2716

Phone

(270) 799-3122

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vivan Cooper

Title

Owner

Phone

(270) 799-3122

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1699405522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLD MORGANTOWN RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012716",
            "telephone_number": "270-799-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLD MORGANTOWN RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012716",
            "telephone_number": "270-799-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "VIVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-799-3122"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100282000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.