Individual provider Active NPI

Stephanie Ellen Milberger, SUDRC

  • Addiction (Substance Use Disorder) Counselor
  • Lower Lake, CA
National Provider Identifier
1740199744
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
F1158528 Issued in CA
Practice address
9055 Hwy 53
Lower Lake, CA 95457
Phone
(707) 995-4263
NPI assigned
Sep 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X F1158528 CA Primary

Addresses

Primary practice location

9055 Hwy 53
Lower Lake, CA 95457

Mailing address

9055 Hwy 53
Lower Lake, CA 95457
Phone (707) 995-4263

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1740199744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 HWY 53",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "95457",
            "telephone_number": "707-995-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 HWY 53",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "95457",
            "telephone_number": "707-995-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBERGER",
        "first_name": "STEPHANIE",
        "middle_name": "ELLEN",
        "credential": "SUDRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "F1158528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.