Active NPI
Tabitha Millwood, LPC
- Mental Health Counselor
- Wetumpka, AL
National Provider Identifier
1851062707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4210
- Practice address
- 45 Cambridge CT
Wetumpka, AL 36093-1261 - Phone
- (334) 839-1891
- NPI assigned
- Sep 21, 2021
- Last updated
- Feb 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4210 | AL | Primary |
Addresses
Primary practice location
45 Cambridge CT
Wetumpka, AL 36093-1261
Mailing address
406 Fairview Ave
Prattville, AL 36066-5210
Phone (334) 467-5997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 3, 2025 through Oct 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4210 | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Counseling & Consulting, LLC | Mental Health | Current | Accepting new patients |
Locations
45 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 221-7461
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.
-
- Mental Health Counselor
- Wetumpka, AL
- NPI 1720862030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1851062707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 FAIRVIEW AVE",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360665210",
"telephone_number": "334-467-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CAMBRIDGE CT",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360931261",
"telephone_number": "334-839-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLWOOD",
"first_name": "TABITHA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "4210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wetumpka, AL
- Douglas Rush McQueen, PH.D.
- Vanessa Dean Means, MSN PMHNP-BC
- Medi - Rides Transport LLC
- Memaw & Paw Paw Homecare LLC
- Clarence Dequan Merckerson, L.P.C.
- Frank T Mitchell
- Montgomery Drug Company Inc (Adams Drugs - Wetumpka)
- Kimberly Moses, PHARMD
- Mracek Family & Internal Clinic LLC (Mfic)
- Mracek Family & Internal Medicine Clinic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.