Active NPI
Annette Milner, SUDC, CMHC
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1902102858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6000064-6009
- Practice address
- 2558 S 900 E Ste B
Salt Lake City, UT 84106-2239 - Phone
- (801) 759-1540
- Fax
- (801) 906-8047
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6000064-6006 | UT | |
| Mental Health Counselor | 101YM0800X | 6000064-6009 | UT | Primary |
Addresses
Primary practice location
2558 S 900 E Ste B
Salt Lake City, UT 84106-2239
Mailing address
3975 S Highland Dr
Holladay, UT 84124-1769
Phone (801) 759-1540
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 |
|---|---|---|---|
| 6000064-6006 | UT | MD | Addiction (Substance Use Disorder) Counselor |
| 6000064-6009 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1902102858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 S HIGHLAND DR",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841241769",
"telephone_number": "801-759-1540",
"fax_number": "801-906-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2558 S 900 E STE B",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062239",
"telephone_number": "801-759-1540",
"fax_number": "801-906-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILNER",
"first_name": "ANNETTE",
"name_prefix": "Prof.",
"credential": "SUDC, CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "6000064-6006",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "6000064-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.