Individual provider Active NPI

Jill E Millea, L.P.C.

  • Professional Counselor
  • Bozrah, CT
National Provider Identifier
1932153756
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001194 Issued in NU
Practice address
46 Lebanon Rd # 4a
Bozrah, CT 06334-1116
Phone
(860) 886-8122
Fax
(860) 535-9921
NPI assigned
May 19, 2006
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 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 001194 NU Primary

Addresses

Primary practice location

46 Lebanon Rd # 4a
Bozrah, CT 06334-1116

Mailing address

321 Main St
Norwich, CT 06360-5840
Phone (860) 889-3178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240217000095 CT Practitioner - Mental Health Counselor 2163866138 Practice locations: Norwich, CT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33 Warren St
Norwich, CT 06360-3623
Phone (860) 629-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Council on Alcoholism and Drug Dependence Past Accepting new patients
Southeastern Council on Alcoholism and Drug Dependence Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1932153756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605840",
            "telephone_number": "860-889-3178",
            "fax_number": "860-823-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LEBANON RD # 4A",
            "city": "BOZRAH",
            "state": "CT",
            "postal_code": "063341116",
            "telephone_number": "860-886-8122",
            "fax_number": "860-535-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEA",
        "first_name": "JILL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "001194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozrah, CT

Sources for this page

Verify at the official NPI Registry.