Active NPI
Ivory Melanie McMillian, PSYD, LPC, NCC
- Professional Counselor
- Washington, DC
National Provider Identifier
1700204351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005585
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PRC13802 | DC | MD | Professional Counselor |
| 0701005585 | VA | MD | Professional Counselor |
| PSY200001474 | DC | MD | Clinical Psychologist |
| 0810007440 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Therapy, LLC | Professional | Current | 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.