Active NPI
Milena Walkowiak, LPC, NCC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1740648294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0014169
- Practice address
- 320 W Olive St
Fort Collins, CO 80521-2716 - Phone
- (970) 310-3406
- NPI assigned
- Jan 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178011642 | IL | |
| Professional Counselor | 101YP2500X | 0014169 | CO | Primary |
Addresses
Primary practice location
320 W Olive St
Fort Collins, CO 80521-2716
Mailing address
10001 Grand Ave
Franklin Park, IL 60131-2563
Phone (847) 451-8303
Other practice location 1
10001 Grand Ave
Franklin Park, IL 60131-2563
Phone (847) 451-8303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014169 | Other | CO | LPC |
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 |
|---|---|---|---|
| 178011642 | IL | MD | Mental Health Counselor |
| 0014169 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740648294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 GRAND AVE",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "601312563",
"telephone_number": "847-451-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W OLIVE ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212716",
"telephone_number": "970-310-3406"
}
],
"practiceLocations": [
{
"address_1": "10001 Grand Ave",
"address_purpose": "LOCATION",
"city": "Franklin Park",
"state": "IL",
"postal_code": "601312563",
"country_code": "US",
"telephone_number": "847-451-8303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKOWIAK",
"first_name": "MILENA",
"name_prefix": "Mrs.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178011642",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0014169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "0014169",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.