Individual provider Active NPI

Kimberly Milliken

  • Professional Counselor
  • Temple, TX
National Provider Identifier
1831755719
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64905 Issued in TX
Practice address
304 S 22ND St
Temple, TX 76501-4726
Phone
(254) 778-4841
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64905 TX Primary

Addresses

Primary practice location

304 S 22ND St
Temple, TX 76501-4726

Mailing address

304 S 22ND St
Temple, TX 76501-4726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004450 TX Practitioner - Mental Health Counselor 1850735663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

3010 Scott Blvd
Suite 103
Temple, TX 76504-6803
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Professional CurrentSince Jan 9, 2024 Accepting new patients

Locations

3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (317) 362-3417

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802

3010 Scott Blvd
Ste 103
Temple, TX 76504
Phone (254) 773-4022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1831755719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S 22ND ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S 22ND ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014726",
            "telephone_number": "254-778-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.