Mark Fernandes McMillan, M.SC., CPC, CLC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

300 W Pensacola St FL 3
Tallahassee, FL 32301-1618

Phone

(877) 572-3399

Fax

(877) 572-3399

NPI assigned

Mar 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Divine Revelations Ministries, Inc.

  • Health & Wellness Coach
  • Tallahassee, FL
  • NPI 1336947415

  Mental Health

  NPD

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1912705070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 DUNN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323042458",
            "telephone_number": "877-572-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W PENSACOLA ST FL 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011618",
            "telephone_number": "877-572-3399",
            "fax_number": "877-572-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MARK",
        "middle_name": "FERNANDES",
        "credential": "M.SC., CPC, CLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Michael McManama, DDS
• Mary Alcott McMichael, PT
• Brooke McMillan, OTR/L
• Damon C. McMillan, M.D.
• Howeida Alexis McMillan
• Melissa McMillan, M.D.
• Meredith Dugger McMillan, MS, BCBA
• Naomi Tatiana McMillan
• Seprena McMillan, RN
• Tania Theresa McMillan

• Pastoral Counselor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.