Individual provider Active NPI

Ivory Melanie McMillian, PSYD, LPC, NCC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1700204351
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005585 Issued in VA
Practice address
900 2ND St NE
LL-12
Washington, DC 20002-3557
Phone
(202) 832-2950
Fax
(202) 832-2951
NPI assigned
Apr 1, 2014
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY200001474 DC
Professional Counselor 101YP2500X PRC13802 DC
Clinical Psychologist 103TC0700X 0810007440 VA
Professional Counselor 101YP2500X 0701005585 VA Primary

Addresses

Primary practice location

900 2ND St NE
LL-12
Washington, DC 20002-3557

Mailing address

900 2ND St NE
LL-12
Washington, DC 20002-3557
Phone (202) 832-2950

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
PRC13802DCMDProfessional Counselor
0701005585VAMDProfessional Counselor
PSY200001474DCMDClinical Psychologist
0810007440VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
All About Therapy, LLC Professional CurrentSince Sep 4, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1700204351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND ST NE",
            "address_2": "LL-12",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023557",
            "telephone_number": "202-832-2950",
            "fax_number": "202-832-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND ST NE",
            "address_2": "LL-12",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023557",
            "telephone_number": "202-832-2950",
            "fax_number": "202-832-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIAN",
        "first_name": "IVORY",
        "middle_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY200001474",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13802",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007440",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.